Individual
MIA JASMINE SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
H5855
OR
125J00000X
Dental Therapist
Primary
DT0002
OR
Other
Enumeration date
01/03/2024
Last updated
01/03/2024
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