Individual provider · Type 1 NPI

Erica Berenice Licea, RDA ORTHO ASSISTANT

Dental Assistant · Rialto, CA

NPI number 1376002287 Active

Practice location

1342 W La Gloria Dr
Rialto, CA 92377-4466

Call (951) 465-9162 Map

Specialties and licenses

TaxonomyCodeLicense
Dental Assistant Primary 126800000X66604 (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 1376002287

Erica Berenice Licea, RDA ORTHO ASSISTANT's National Provider Identifier is 1376002287, issued on Mar 19, 2019. The primary taxonomy on file is Dental Assistant (126800000X), and the practice location is in Rialto, CA. The record was last updated on Mar 19, 2019.