Individual
AUDRA CHARLENE MASSENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
5468 E SUNCREST RD, ANAHEIM, CA 92807-3743
(714) 504-2945
Mailing address
5468 E SUNCREST RD, ANAHEIM, CA 92807-3743
(714) 504-2945
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
24996
CA
Other
Enumeration date
08/06/2013
Last updated
08/06/2013
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