Individual provider · Type 1 NPI

Selena Marie Diaz

Dental Assistant · North Hills, CA

NPI number 1639629157 Active

Practice location

15350 Nordhoff St Ste A
North Hills, CA 91343-2234

Mailing address

13837 Runnymede St
Van Nuys, CA 91405-1518

Specialties and licenses

TaxonomyCodeLicense
Dental Assistant Primary 126800000X67509 (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 1639629157

Selena Marie Diaz's National Provider Identifier is 1639629157, issued on Oct 7, 2016. The primary taxonomy on file is Dental Assistant (126800000X), and the practice location is in North Hills, CA. The record was last updated on Oct 7, 2016.