Individual provider · Type 1 NPI
Audrey Lee Wingo
General Practice Dentistry · Seaside, CA
NPI number
1376857771
Active
Practice location
1513 Fremont Blvd # E-2
Seaside, CA 93955-4319
Mailing address
6484 Cooper St
Felton, CA 95018-9402
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 59475 (CA) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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About NPI 1376857771
Audrey Lee Wingo's National Provider Identifier is 1376857771, issued on Jul 28, 2010. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Seaside, CA. The record was last updated on Jul 28, 2010.