Individual
DR. AUDREY S. MA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
10681 BOLSA AVE, SUITE A, GARDEN GROVE, CA 92843-5270
(714) 554-8970
Mailing address
10681 BOLSA AVE, SUITE A, GARDEN GROVE, CA 92843-5270
(714) 554-8970
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
48829
CA
Other
Enumeration date
09/20/2006
Last updated
01/30/2017
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