Individual provider · Type 1 NPI
Selina Jade Preston, CSOM
Specialist · San Diego, CA
NPI number
1265034409
Active
Practice location
16767 Bernardo Center Dr # 27384
San Diego, CA 92128-2509
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Hygienist | 124Q00000X | 31496 (CA) |
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1265034409
Selina Jade Preston, CSOM's National Provider Identifier is 1265034409, issued on Nov 12, 2020. The primary taxonomy on file is Specialist (174400000X), and the practice location is in San Diego, CA. The record was last updated on Nov 1, 2021.