Individual provider · Type 1 NPI
Doretha M. Wilson
Dental Hygienist · Winterhaven, CA
Practice location
401 Picacho Rd
Winterhaven, CA 92283-9605
Mailing address
PO Box 1368
Yuma, AZ 85366-2361
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Hygienist Primary | 124Q00000X | 3209 (KY) |
Dental Hygienist: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and…
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About NPI 1407554686
Doretha M. Wilson's National Provider Identifier is 1407554686, issued on Feb 17, 2023. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Winterhaven, CA. The record was last updated on Feb 17, 2023.