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

Individual provider Dental Assistant · NPI 1205232204

Lebrock Shynnel Blystone, RDA is a Dental Assistant in Baldwin Park, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
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Practice location Address checks out

4000 La Rica Ave Ste D
Baldwin Park, CA 91706-3163
Phone: (626) 430-9171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Assistant (primary) Taxonomy 126800000X · Licence 83522 (CA)

Record details

NPI number1205232204
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDA
Sole proprietorNo
NPI enumeratedNovember 18, 2014
Last updated in NPPESNovember 18, 2014

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