Individual provider · Type 1 NPI

Mariah Bonner, RDH, MSDH

Dental Hygienist · Los Angeles, CA

NPI number 1417844838 Active

Practice location

4415 S Central Ave
Los Angeles, CA 90011-3629

Call (323) 908-4200 Map

Mailing address

3656 Sunset Ridge Rd
Altadena, CA 91001-3863

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X19729 (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…

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About NPI 1417844838

Mariah Bonner, RDH, MSDH's National Provider Identifier is 1417844838, issued on Jun 19, 2025. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Los Angeles, CA. The record was last updated on Jun 19, 2025.