Kristan Nicole Otto
Dental Assistant
12121 Wilshire Blvd 1111
Los Angeles
, California 90025-1123
Kristan Nicole Otto
Dental Assistant
12121 Wilshire Blvd 1111
Los Angeles
, California 90025-1123
(310) 820-0408
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About
Features
Specialties
- Dental Assistant
Languages spoken
- English
Location
First Address
- Kristan Nicole Otto
- 12121 Wilshire Blvd 1111
- Los Angeles, CA
- Zip : 90025-1123
- Fax : (310) 820-0408
- Phone : (310) 820-9933
Second Address
- Kristan Nicole Otto
- 12121 Wilshire Blvd 1111
- Los Angeles, CA
- Zip : 90025-1123
- Fax : (310) 820-0408
- Phone : (310) 820-9933
Reviews
FAQs
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Is Kristan Nicole Otto a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | D160110472 | WA |
National Provider Identifier
| NPI | 1225476880 |
|---|---|
| Provider Name | Kristan Nicole Otto |
| First Address | Los Angeles, CA 90025-1123 |
| Second Address | Los Angeles, CA 90025-1123 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/06/2013 |
| Last Update Date | 05/06/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.