Individual provider · Type 1 NPI

Amanda Marie Dutra, RDA

Dental Assistant · San Luis Obispo, CA

NPI number 1821176009 Active

Practice location

1370 Chorro St
San Luis Obispo, CA 93401

Mailing address

753 Corbett Cyn Rd
Arroyo Grande, CA 93420

Specialties and licenses

TaxonomyCodeLicense
Dental Assistant Primary 126800000X57717 (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 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.