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Individual
KHRYSTAL AUDI
Active
Individual
KHRYSTAL AUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
106155
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DDS106155
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/15/2020
Last updated
07/14/2026
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