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

Mrs. Marilyn Blackmun, PDHAP

Individual provider Dental Hygienist · NPI 1790909349

Mrs. Marilyn Blackmun, PDHAP is a Dental Hygienist in LA Canada, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

2209 San Gorgonio Rd
LA Canada, CA 91011-1352
Phone: (818) 957-1589
Fax: (818) 957-1589
Show map & directions

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

Specialties & licences

Dental Hygienist (primary) Taxonomy 124Q00000X · Licence HAP11 (CA)

Record details

NPI number1790909349
Entity typeIndividual (Type 1)
GenderFemale
Credentials PDHAP
Sole proprietorNo
NPI enumeratedApril 13, 2007
Last updated in NPPESJuly 8, 2007
Mailing address2209 San Gorgonio Rd, La Canada, CA 91011-1352

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