Individual
DR. AYONNA NIECHELLE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
645 AERICK ST, INGLEWOOD, CA 90301-4881
(323) 678-4779
Mailing address
645 AERICK ST STE 3, INGLEWOOD, CA 90301-4884
(323) 678-4779
(310) 677-6786
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
47189
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G93150-01
—
CA
Enumeration date
08/19/2006
Last updated
05/24/2012
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