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Mrs. Marilyn Blackmun, PDHAP
Dental Hygienist in La Canada, California
NPI 1790909349

Marilyn Blackmun is a Dental Hygienist based in La Canada, CA. Marilyn Blackmun practices in La Canada, CA and has the professional credentials of PDHAP. The NPI Number for Marilyn Blackmun is 1790909349 and holds a License No. HAP11 (California).

The current practice location address for Marilyn Blackmun is 2209 San Gorgonio Rd, La Canada, CA and can be reached out via phone at 818-957-1589 and via fax at 818-957-1589.

Location: 2209 San Gorgonio Rd, La Canada, CA, 91011-1352
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790909349
Provider Name
Marilyn Blackmun
Credential
PDHAP
Provider Entity Type
Individual
Gender
Female
Address
2209 San Gorgonio Rd, La Canada, CA, 91011-1352
Phone Number
818-957-1589
Fax Number
818-957-1589
Provider Enumeration Date
04/13/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
28993701 05 CA
133068 01 CA DELTA DENTAL INS
institution
Provider Business Practice Location Address Details
Address
2209 San Gorgonio Rd
City
La Canada
State
California
Zip
91011-1352
Phone Number
818-957-1589
Fax Number
818-957-1589
person
Provider Business Mailing Address Details
Address
2209 San Gorgonio Rd
City
La Canada
State
California
Zip
91011-1352
Phone Number
818-957-1589
Fax Number
818-957-1589
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dental Hygienist
Speciality
-
Taxonomy
124Q00000X
License No.
HAP11 (California)
Definition
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.
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