Individual
EBONY SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3500 W MANCHESTER BLVD, UNIT #131, INGLEWOOD, CA 90305
(323) 309-0425
Mailing address
3500 W MANCHESTER BLVD, UNIT #131, INGLEWOOD, CA 90305
(323) 309-0425
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
72801
CA
Other
Enumeration date
07/11/2014
Last updated
07/11/2014
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