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Tae Kwon
Orthodontics and Dentofacial Orthopedic Dentist in Fresno, California
NPI 1992157572

Tae Kwon is a Orthodontics and Dentofacial Orthopedic Dentist based in Hartford, CA and is specialized in Orthodontics and Dentofacial Orthopedics. Tae Kwon practices in Fresno, CA. The NPI Number for Tae Kwon is 1992157572 and holds a License No. (California).

The current practice location address for Tae Kwon is 1161 E Shepherd Ave Apt 201, Fresno, CA and can be reached out via phone at 310-890-0816.

Location: 1161 E Shepherd Ave Apt 201, Fresno, CA, 06103-2325
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992157572
Provider Name
Tae Kwon
Credential
Provider Entity Type
Individual
Gender
Male
Address
1161 E Shepherd Ave Apt 201, Fresno, CA, 06103-2325
Phone Number
310-890-0816
Fax Number
Provider Enumeration Date
07/07/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1161 E Shepherd Ave Apt 201
City
Fresno
State
California
Zip
93720-2046
Phone Number
310-890-0816
Fax Number
person
Provider Business Mailing Address Details
Address
1161 E Shepherd Ave Apt 201
City
Fresno
State
California
Zip
93720-2046
Phone Number
310-890-0816
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Orthodontics and Dentofacial Orthopedics
Taxonomy
1223X0400X
License No.
103782 (California)
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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