Lebrock Shynnel Blystone
Dental Assistant
4000 La Rica Ave Ste D
Baldwin Park
, California 91706-3163
Lebrock Shynnel Blystone
Dental Assistant
4000 La Rica Ave Ste D
Baldwin Park
, California 91706-3163
(626) 430-9171
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About
Features
Specialties
- Dental Assistant
Languages spoken
- English
Location
First Address
- Lebrock Shynnel Blystone
- 4000 La Rica Ave Ste D
- Baldwin Park, CA
- Zip : 91706-3163
- Phone : (626) 430-9171
Second Address
- Lebrock Shynnel Blystone
- 4000 La Rica Ave Ste D
- Baldwin Park, CA
- Zip : 91706-3163
- Phone : (626) 430-9171
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Is Lebrock Shynnel Blystone board certified?
What type of doctor is Lebrock Shynnel Blystone
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What is Lebrock Shynnel Blystone ’s gender?
Is Lebrock Shynnel Blystone a sole practitioner?
Is Lebrock Shynnel Blystone accepting new patients?
What languages does Lebrock Shynnel Blystone speak?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | 83522 | CA |
National Provider Identifier
| NPI | 1205232204 |
|---|---|
| Provider Name | Lebrock Shynnel Blystone |
| First Address | Baldwin Park, CA 91706-3163 |
| Second Address | Baldwin Park, CA 91706-3163 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/11/2014 |
| Last Update Date | 18/11/2014 |
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.