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

Kristan Nicole Otto, RDA

Individual provider Dental Assistant · NPI 1225476880

Kristan Nicole Otto, RDA is a Dental Assistant in Los Angeles, California. Licensed in Washington. Registered with an NPI since 2013.

Licensed in
WA
In the registry since
2013

Practice location Address checks out

12121 Wilshire Blvd 1111
Los Angeles, CA 90025-1123
Phone: (310) 820-9933
Fax: (310) 820-0408
Show map & directions

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

Specialties & licences

Dental Assistant (primary) Taxonomy 126800000X · Licence D160110472 (WA)

Record details

NPI number1225476880
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDA
Sole proprietorNo
NPI enumeratedJune 5, 2013
Last updated in NPPESJune 5, 2013

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