Linda A Branch, RDA
Individual provider Active NPI Dental Assistant · Alpine, CA
NPI 1962775429 · NPPES record last updated Feb 14, 2012
Key facts
- NPI
- 1962775429
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Assistant 126800000X
- License
- 39447 (CA)
- Practice address
- 4058 Willows Rd
Alpine, CA 91901-1668 - Phone
- (619) 445-1188
- NPI assigned
- Feb 14, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39447 | CA | MD | Dental Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Assistant | 126800000X | 39447 | CA | Yes |
Addresses
Primary practice location
4058 Willows Rd
Alpine, CA 91901-1668
Mailing address
30037 Canvasback Dr
Campo, CA 91906-1455
Phone (619) 838-6712
Other providers in Alpine, CA
- Joshua Matthew Blessing
- Bold Plate Nutrition, LLC
- Jonar R Bonifacio
- Jennifer Boules-Syta
- Cybill Bowens-Vargas
- Marie Bridgeford
- Abigail Kate Brown
- Paul Brown
- Atley Buechler
- Jesse Bullock
All providers in Alpine, CA · Dental Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.