Individual
MRS. KIMBERLY ANN GAITHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
3717 S LA BREA AVE, #520, LOS ANGELES, CA 90016-5300
(310) 776-0055
(310) 671-1089
Mailing address
3717 S LA BREA AVE, #520, LOS ANGELES, CA 90016-5300
(310) 776-0055
(310) 671-1089
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
260
CA
Other
Enumeration date
06/09/2009
Last updated
10/26/2009
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