Individual
DR. AUDREY MAE N RAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4620 JEFFERSON LN NE STE C, ALBUQUERQUE, NM 87109-2149
(505) 888-3520
Mailing address
4620 JEFFERSON LN NE STE C, ALBUQUERQUE, NM 87109-2149
(505) 888-3520
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2646
HI
1223P0221X
Pediatric Dentistry
2646
HI
1223P0221X
Pediatric Dentistry
DD4404
NM
1223P0221X
Pediatric Dentistry
Primary
DD5246
NM
1223P0221X
Pediatric Dentistry
DT-2646
HI
Other
Enumeration date
06/22/2012
Last updated
07/24/2023
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