Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Marie Dutra, RDA

Individual provider Dental Assistant · NPI 1821176009

Amanda Marie Dutra, RDA is a Dental Assistant in San Luis Obispo, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006

Practice location Address checks out

1370 Chorro St
San Luis Obispo, CA 93401
Phone: (805) 543-6535
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Assistant (primary) Taxonomy 126800000X · Licence 57717 (CA)

Record details

NPI number1821176009
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDA
Sole proprietorNo
NPI enumeratedNovember 2, 2006
Last updated in NPPESJuly 8, 2007

Other providers in San Luis Obispo