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Individual

SHERWIN JEROME TAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
12730 HAWTHORNE BLVD STE D, HAWTHORNE, CA 90250-3919
(310) 644-4000
Mailing address
12121 WILSHIRE BLVD STE 1111, LOS ANGELES, CA 90025-1188

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
25300
CA

Other

Enumeration date
06/21/2013
Last updated
06/21/2013
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