Individual provider · Type 1 NPI

Marilyn Blackmun, PDHAP

Dental Hygienist · La Canada, CA

NPI number 1790909349 Active

Practice location

2209 San Gorgonio Rd
La Canada, CA 91011-1352

Fax (818) 957-1589

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000XHAP11 (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 1790909349

Marilyn Blackmun, PDHAP's National Provider Identifier is 1790909349, issued on Apr 13, 2007. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in La Canada, CA. The record was last updated on Jul 8, 2007.