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MOBILE TEETH CLEANING NPI 1104000934


NPI Information

NPI: 1104000934
Provider Name: MOBILE TEETH CLEANING

Other Name: AARON BENITEZ, RDHAP

Classification: Dental Hygienist - 124Q00000X
Entity Type: Organization
Address:
3205 LOS FELIZ BL
13309
LOS ANGELES, CA
ZIP 90039
Phone: (323) 333-9938
Get Directions

MOBILE TEETH CLEANING is a dental hygienist in Los Angeles, CA. The provider is 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 regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. MOBILE TEETH CLEANING NPI is 1104000934. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Aaron Benitez, Rdhap.

The provider's business location address is:

3205 LOS FELIZ BL
13309
LOS ANGELES, CA
ZIP 90039-554
Phone: (323) 333-9938
Fax: (323) 446-7313

The provider's authorized official is Aaron Benjamin Benitez .
The authorized official title is Owner and has the following contact phone number (323) 333-9938.

The enumeration date for this NPI number is 12/28/2007 and was last updated on 12/28/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1124Q00000XDental HygienistHAP173CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Z8978301MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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