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Alexis Leigh Carrillo-holguin, RDHAP
Advanced Practice Dental Therapist in San Diego, California
NPI 1184286304

Alexis Leigh Carrillo-holguin is an Advanced Practice Dental Therapist based in San Diego, CA. Alexis Leigh Carrillo-holguin practices in San Diego, CA and has the professional credentials of RDHAP. The NPI Number for Alexis Leigh Carrillo-holguin is 1184286304 and holds a License No. HAP741 (California).

The current practice location address for Alexis Leigh Carrillo-holguin is 501 W Broadway Ste 800, San Diego, CA and can be reached out via phone at 619-368-0053. You can also correspond with Alexis Leigh Carrillo-holguin through the mailing address at 501 W BROADWAY STE 800, SAN DIEGO, CA - 92101-3546 (mailing address contact number: 619-368-0053).

Location: 501 W Broadway Ste 800, San Diego, CA, 92101-3546
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184286304
Provider Name
Alexis Leigh Carrillo-holguin
Credential
RDHAP
Provider Entity Type
Individual
Gender
Female
Address
501 W Broadway Ste 800, San Diego, CA, 92101-3546
Phone Number
619-368-0053
Fax Number
Provider Enumeration Date
07/08/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
501 W Broadway Ste 800
City
San Diego
State
California
Zip
92101-3546
Phone Number
619-368-0053
Fax Number
person
Provider Business Mailing Address Details
Address
501 W Broadway Ste 800
City
San Diego
State
California
Zip
92101-3546
Phone Number
619-368-0053
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Advanced Practice Dental Therapist
Speciality
-
Taxonomy
125K00000X
License No.
HAP741 (California)
Definition
An Advanced Practice Dental Therapist is:<br/>(1) A dental therapist who has completed additional training beyond basic dental therapy education and provides dental services in accordance with state advanced practice dental therapist laws or statutes; or<br/>(2) A dental hygienist with a graduate degree in advanced dental therapy prepared for independent and interdependent decision making and direct accountability for clinical judgment across the dental health care continuum.<br/>The individual has been authorized by the relevant state board or a tribal entity to provide services under the remote supervision of a dentist. The functions of the advanced practice dental therapist vary based on the needs of the dentist, the educational preparation of the advanced practice dental therapist and state dental practice acts and regulations.
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