Individual provider · Type 1 NPI

Leah Bolle-Van Loo

Dental Assistant · North Bend, OR

NPI number 1841084209 Active

Practice location

1885 Waite St
North Bend, OR 97459-1210

Fax (541) 756-6234

Mailing address

1890 Waite St Ste 1
North Bend, OR 97459-1229

Specialties and licenses

TaxonomyCodeLicense
Dental Assistant Primary 126800000X002377 (OR)

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 1841084209

Leah Bolle-Van Loo's National Provider Identifier is 1841084209, issued on Apr 8, 2025. The primary taxonomy on file is Dental Assistant (126800000X), and the practice location is in North Bend, OR. The record was last updated on Apr 8, 2025.