Individual provider · Type 1 NPI

Jose Daniel De Jesus

Dental Assistant · Los Angeles, CA

NPI number 1639400609 Active

Practice location

12121 Wilshire Blvd
Los Angeles, CA 90025-1123

Call (310) 820-9933 Map

Mailing address

5816 Lemp Ave
North Hollywood, CA 91601-1023

Specialties and licenses

TaxonomyCodeLicense
Dental Assistant Primary 126800000X74403 (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 1639400609

Jose Daniel De Jesus's National Provider Identifier is 1639400609, issued on Jan 14, 2010. The primary taxonomy on file is Dental Assistant (126800000X), and the practice location is in Los Angeles, CA. The record was last updated on Jan 14, 2010.