Individual provider · Type 1 NPI
Amanda Marie Dutra, RDA
Dental Assistant · San Luis Obispo, CA
Practice location
1370 Chorro St
San Luis Obispo, CA 93401
Mailing address
753 Corbett Cyn Rd
Arroyo Grande, CA 93420
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Assistant Primary | 126800000X | 57717 (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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- Jodi Rae Burdick, R.D.A.Dental Assistant San Luis Obispo, CA NPI 1811076912
- Laura M. O. FarrellDental Assistant San Luis Obispo, CA NPI 1144308339
- Michaela Bixler, R.D.H.Dental Hygienist San Luis Obispo, CA NPI 1215016308
- Micheline J. Mehall, RDH 17521Dental Hygienist San Luis Obispo, CA NPI 1346333119
- Nathan Wong, D.D.SGeneral Practice Dentistry San Luis Obispo, CA NPI 1265864151
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About NPI 1821176009
Amanda Marie Dutra, RDA's National Provider Identifier is 1821176009, issued on Nov 2, 2006. The primary taxonomy on file is Dental Assistant (126800000X), and the practice location is in San Luis Obispo, CA. The record was last updated on Jul 8, 2007.