Individual
LISA TAKAYAMA KAMIBAYASHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
4255 S CENTRAL AVE, LOS ANGELES, CA 90011-3051
(323) 908-4200
Mailing address
1714 FLOWER AVE, TORRANCE, CA 90503-7237
(310) 782-5318
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
16729
CA
Other
Enumeration date
08/18/2023
Last updated
08/31/2023
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