Individual provider · Type 1 NPI

Randy Raymundo Penoliar, RDA

Dental Assistant · North Hills, CA

NPI number 1053923540 Active

Practice location

15350 Nordhoff St Unit A15350
North Hills, CA 91343-2234

Specialties and licenses

TaxonomyCodeLicense
Dental Assistant Primary 126800000XNone listed

Dental Assistant: An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the d…

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About NPI 1053923540

Randy Raymundo Penoliar, RDA's National Provider Identifier is 1053923540, issued on Aug 18, 2020. The primary taxonomy on file is Dental Assistant (126800000X), and the practice location is in North Hills, CA. The record was last updated on Aug 18, 2020.