Individual provider · Type 1 NPI

Dina Mireya Ilijic Manzanera, RDH

Dental Hygienist · Oakland, CA

NPI number 1598087439 Active

Practice location

3050 E 16th St
Oakland, CA 94601-2319

Fax (510) 535-4128

Mailing address

1601 Fruitvale Ave
Oakland, CA 94601-2418

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000XRDH24464 (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 1598087439

Dina Mireya Ilijic Manzanera, RDH's National Provider Identifier is 1598087439, issued on Feb 19, 2010. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Oakland, CA. The record was last updated on Feb 19, 2010.