Individual provider · Type 1 NPI

Alexis Leigh Carrillo-Holguin, RDHAP

Advanced Practice Dental Therapist · San Diego, CA

NPI number 1184286304 Active

Practice location

501 W Broadway Ste 800
San Diego, CA 92101-3546

Call (619) 368-0053 Map

Specialties and licenses

TaxonomyCodeLicense
Advanced Practice Dental Therapist Primary 125K00000XHAP741 (CA)

Advanced Practice Dental Therapist: An Advanced Practice Dental Therapist is:<br/>(1) A dental therapist who has completed additional training beyond basic dental therapy education and provides dental services in accordance with state advanced practice dental therapist laws or statutes; or<br/>(2) A dental hygienist with a graduate degree in advanced dental therapy prepared for independent and interdependent decision making and direct accountability f…

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About NPI 1184286304

Alexis Leigh Carrillo-Holguin, RDHAP's National Provider Identifier is 1184286304, issued on Jul 8, 2019. The primary taxonomy on file is Advanced Practice Dental Therapist (125K00000X), and the practice location is in San Diego, CA. The record was last updated on Jul 8, 2019.