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Nicole Sepulveda, 68EN5
Dental Laboratory Technician in Fort Irwin, California
NPI 1881106193

Nicole Sepulveda is a Dental Laboratory Technician based in Fort Irwin, CA. Nicole Sepulveda practices in Fort Irwin, CA and has the professional credentials of 68EN5. The NPI Number for Nicole Sepulveda is 1881106193 and holds a License No. (California).

The current practice location address for Nicole Sepulveda is Bldg 171, Fort Irwin, CA and can be reached out via phone at 719-526-5537.

Location: Bldg 171, Fort Irwin, CA, 92310
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881106193
Provider Name
Nicole Sepulveda
Credential
68EN5
Provider Entity Type
Individual
Gender
Female
Address
Bldg 171, Fort Irwin, CA, 92310
Phone Number
719-526-5537
Fax Number
Provider Enumeration Date
10/26/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
Bldg 171
City
Fort Irwin
State
California
Zip
92310
Phone Number
719-526-5537
Fax Number
person
Provider Business Mailing Address Details
Address
Bldg 171
City
Fort Irwin
State
California
Zip
92310
Phone Number
719-526-5537
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dental Assistant
Speciality
-
Taxonomy
126800000X
License No.
()
Definition
An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dental Laboratory Technician
Speciality
-
Taxonomy
126900000X
License No.
()
Definition
An individual who has the skill and knowledge in the fabrication of dental appliances, prostheses and devices in accordance with a dentist's laboratory work authorization. To avoid misleading the public, no occupational title other than dental laboratory technician or certified dental technician (when appropriate) should be used to describe this auxiliary.
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