Individual provider · Type 1 NPI

Lauryn Elizabeth Gresham

Dental Assistant · Fresno, CA

NPI number 1093289902 Active

Practice location

6323 N Fresno St Ste 101
Fresno, CA 93710-5282

Call (559) 439-2307 Map

Mailing address

34697 Road 221 Wishon Ca 93669, P.o. Box 852
North Fork Ca, CALIFORNIA 93643

Specialties and licenses

TaxonomyCodeLicense
Dental Assistant Primary 126800000X91009 (CA)

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 1093289902

Lauryn Elizabeth Gresham's National Provider Identifier is 1093289902, issued on Jan 14, 2019. The primary taxonomy on file is Dental Assistant (126800000X), and the practice location is in Fresno, CA. The record was last updated on Jan 14, 2019.