Individual provider · Type 1 NPI

Dominique Diaz

Dental Hygienist · Los Angeles, CA

NPI number 1831596816 Active

Practice location

1127 Wilshire Blvd Ste 1504
Los Angeles, CA 90017-4006

Mailing address

748 1/2 Mountain View Ave
Monrovia, CA 91016

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X25511 (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 1831596816

Dominique Diaz's National Provider Identifier is 1831596816, issued on Nov 19, 2014. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Los Angeles, CA. The record was last updated on Nov 19, 2014.