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Individual

DR. AUDREY A. FOROUTAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
700 GARDEN VIEW CT, SUITE 200, ENCINITAS, CA 92024-2464
(760) 944-5588
(760) 944-5688
Mailing address
700 GARDEN VIEW CT, SUITE 200, ENCINITAS, CA 92024-2464
(760) 944-5588
(760) 944-5688

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
49315
CA

Other

Enumeration date
05/01/2006
Last updated
11/04/2008
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