| Ayonna N. Taylor, D.d.s., A Professional Corp. | |
|
645 Aerick St Ste 3 Inglewood CA 90301-4884 | |
| (323) 678-4779 | |
| Not Available |
| Full Name | Ayonna N. Taylor, D.d.s., A Professional Corp. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 645 Aerick St Ste 3, Inglewood, California |
| Authorized Official Name and Position | Ayonna Taylor (PRESIDENT) |
| Authorized Official Contact | 3236784779 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ayonna N. Taylor, D.d.s., A Professional Corp. 4116 W 64th St Inglewood CA 90302-1406 Ph: (323) 678-4779 | Ayonna N. Taylor, D.d.s., A Professional Corp. 645 Aerick St Ste 3 Inglewood CA 90301-4884 Ph: (323) 678-4779 |
| NPI Number | 1740648591 |
|---|---|
| Provider Enumeration Date | 02/08/2016 |
| Last Update Date | 02/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740648591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 47189 (California) | Primary |
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