Individual provider · NPI-1

Carla Perkins, RDA

Dental Assistant · Lynwood, CA

NPI number1922542265
StatusActive
Last updated in NPPESDec 6, 2016

Details

NPI
1922542265
Entity type
Individual (NPI-1)
Name
Carla Perkins
Credential
RDA
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 6, 2016
Last updated
Dec 6, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
126800000X Dental Assistant46339CAYes

Practice location

9910 Long Beach Blvd
Suite A
Lynwood, CA 90262-1561

Phone 323-563-8900

Mailing address

1266 West Jefferson Blvd.
Apt 102
Los Angeles, CA 90007-2954

Phone 323-798-2542

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