Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLE TATUM, RDA
Active Sole ProprietorNICHOLE TATUM, RDA is a Dental Assistant healthcare provider located in MORENO VALLEY, California. NPI 1710337605 is currently active in the NPPES registry. Verify at CMS.
Dental Assistant · MORENO VALLEY, CA
Registration Details
- NPI Number
- 1710337605
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 21, 2016 (9.9640736437917 yrs)
- Last Updated
- Jun 21, 2016
- License
-
69826 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
16088 GERANIUM CTMORENO VALLEY, CA, 925517292Browse CA providers · Browse ZIP 92551
- Phone
- 9512299000
- Primary Specialty
-
Dental Assistant
126800000X
Other Dental Assistant Providers in MORENO VALLEY, CA
| Name | Credential | NPI |
|---|---|---|
| NANCY LOPEZ | B.S. | 1104264399 |
| CLAUDIA ALVAREZ | — | 1700372281 |
| DIEGO JESUS GUZMAN GARCIA | — | 1255813416 |
| NICOLE LAUREN HOCKETT | RDA | 1073143129 |
| MS. ANGELINA F. VASQUEZ | RDA AS | 1518593565 |
| MRS. CIOMARA MARLENY CANALES | — | 1710597471 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.