Individual provider · Type 1 NPI

Eveette Michelle Tavakkoly, RDH

Dental Hygienist · San Clemente, CA

NPI number 1972709897 Active

Practice location

647 Camino De Los Mares Ste 209
San Clemente, CA 92673-2807

Mailing address

23701 Arjay Way
Laguna Niguel, CA 92677-4642

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X21667 (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 1972709897

Eveette Michelle Tavakkoly, RDH's National Provider Identifier is 1972709897, issued on Jun 26, 2007. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in San Clemente, CA. The record was last updated on Jul 8, 2007.