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Individual

AUDREY MIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
680 BANCROFT AVE, SAN LEANDRO, CA 94577-2904
(510) 569-0218
Mailing address
933 SHORELINE DR APT 206, ALAMEDA, CA 94501-5991
(213) 330-5486

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
106684
CA

Other

Enumeration date
12/20/2021
Last updated
12/20/2021
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