Individual provider · Type 1 NPI

Kimberly Diane Bacon

Dental Assistant · Buena Park, CA

NPI number 1487891065 Active

Practice location

8381 La Palma Ave, Suite B & C
Buena Park, CA 90620-3271

Call (714) 228-9990 Map

Fax (714) 228-9741

Specialties and licenses

TaxonomyCodeLicense
Dental Assistant Primary 126800000X54253991003342 (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 1487891065

Kimberly Diane Bacon's National Provider Identifier is 1487891065, issued on Jan 19, 2009. The primary taxonomy on file is Dental Assistant (126800000X), and the practice location is in Buena Park, CA. The record was last updated on Jan 19, 2009.