Individual
MS. KHARA TENISE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
7210 DAY CREEK BLVD STE 110, RANCHO CUCAMONGA, CA 91739-7543
(909) 803-1111
Mailing address
180 E JARVIS ST APT 705, PERRIS, CA 92571-2913
(951) 229-4585
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
RDA90270
CA
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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