MS. Audrey Lee Wingo
NPI #1376857771 in Seaside, California
Provider Information
- NPI Number
- 1376857771
- Entity Type
- Individual
- Name
- MS. Audrey Lee Wingo
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 28, 2010
- Last Updated
- Jul 28, 2010
Practice Location
- Address
- 1513 FREMONT BLVD # E-2
- City
- Seaside
- State
- California
- ZIP Code
- 93955-4319
- Phone
- (831) 324-4492
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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