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Individual
AUDRA ROBINSON
Active
Individual
AUDRA ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
102434
CA
1223G0001X
General Practice Dentistry
2901022330
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25275635
DENTPIN
NY
Enumeration date
06/14/2017
Last updated
12/18/2020
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