Individual provider · Type 1 NPI

Jason Derek Miranda, RDA/OAP

Dental Assistant · Lancaster, CA

NPI number 1134616394 Active

Practice location

5033 W Avenue L10 Apt 15
Lancaster, CA 93536-3681

Call (661) 709-0637 Map

Specialties and licenses

TaxonomyCodeLicense
Dental Assistant Primary 126800000XRDA84892 (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 1134616394

Jason Derek Miranda, RDA/OAP's National Provider Identifier is 1134616394, issued on Apr 13, 2018. The primary taxonomy on file is Dental Assistant (126800000X), and the practice location is in Lancaster, CA. The record was last updated on Apr 13, 2018.