Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA MARIE DUTRA, RDA
ActiveAMANDA MARIE DUTRA, RDA is a Dental Assistant healthcare provider located in SAN LUIS OBISPO, California. NPI 1821176009 is currently active in the NPPES registry. Verify at CMS.
Dental Assistant · SAN LUIS OBISPO, CA
Registration Details
- NPI Number
- 1821176009
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 2, 2006 (19.821189171354 yrs)
- Last Updated
- Jul 8, 2007
- License
-
57717 (CA)
Practice Information
- Address
-
1370 CHORRO STSAN LUIS OBISPO, CA, 93401Browse CA providers · Browse ZIP 93401
- Phone
- 8055436535
- Primary Specialty
-
Dental Assistant
126800000X
Other Dental Assistant Providers in SAN LUIS OBISPO, CA
| Name | Credential | NPI |
|---|---|---|
| MISS LAURA M O FARRELL | — | 1144308339 |
| MRS. JODI RAE BURDICK | R.D.A. | 1811076912 |
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.