Individual provider · Type 1 NPI

Nichole Tatum, RDA

Dental Assistant · Moreno Valley, CA

NPI number 1710337605 Active

Practice location

16088 Geranium Ct
Moreno Valley, CA 92551-7292

Specialties and licenses

Taxonomy	Code	License
Dental Assistant Primary	126800000X	69826 (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 1710337605

Nichole Tatum, RDA's National Provider Identifier is 1710337605, issued on Jun 21, 2016. The primary taxonomy on file is Dental Assistant (126800000X), and the practice location is in Moreno Valley, CA. The record was last updated on Jun 21, 2016.