Individual provider · Type 1 NPI
Maria Antonette De Lara Kim, RDH, RDHAP
Dental Hygienist · Banning, CA
Practice location
66 S San Gorgonio Ave Ste 5
Banning, CA 92220-6020
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Hygienist Primary | 124Q00000X | 783 (CA) |
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…
Another provider at this address
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About NPI 1417558180
Maria Antonette De Lara Kim, RDH, RDHAP's National Provider Identifier is 1417558180, issued on Nov 7, 2020. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Banning, CA. The record was last updated on Mar 4, 2021.