Individual provider · Type 1 NPI

Kristan Nicole Otto, R.D.A

Dental Assistant · Los Angeles, CA

NPI number 1225476880 Active

Practice location

12121 Wilshire Blvd, 1111
Los Angeles, CA 90025-1123

Call (310) 820-9933 Map

Fax (310) 820-0408

Specialties and licenses

TaxonomyCodeLicense
Dental Assistant Primary 126800000XD160110472 (WA)

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 1225476880

Kristan Nicole Otto, R.D.A's National Provider Identifier is 1225476880, issued on Jun 5, 2013. The primary taxonomy on file is Dental Assistant (126800000X), and the practice location is in Los Angeles, CA. The record was last updated on Jun 5, 2013.