Individual
SHIRLEY GARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12121 WILSHIRE BLVD, 1111, LOS ANGELES, CA 90025-1123
(310) 409-4265
Mailing address
12121 WILSHIRE BLVD, 1111, LOS ANGELES, CA 90025-1123
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
40196
CA
Other
Enumeration date
06/24/2016
Last updated
06/24/2016
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