Whalio Doctors

NPI 1376929638

Elizabeth Brutus, RDHAP

Practitioner Advanced Practice Dental Therapist San Bernardino, CA

Practice location

Address
2623 S Andrews Ln, San Bernardino, CA 92408-4191
Phone
(909) 222-4654

Registered specialties (2)

Advanced Practice Dental Therapist Primary
Dental Providers Taxonomy 125K00000X Licence 585 (CA)
Dental Hygienist
Dental Providers Taxonomy 124Q00000X Licence 19425 (CA)

Registry record

NPI
1376929638
Entity type
Individual
Sex (as registered)
Female
NPI issued
9 Aug 2015
Record last updated
12 Jan 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.