Individual
AUDRA ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1500 E MEDICAL CENTER DR SPC 5831, ANN ARBOR, MI 48109-5000
(734) 936-5950
Mailing address
652 HAMILTON RD, FORT SILL, OK 73503
(580) 442-3905
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
102434
CA
1223G0001X
General Practice Dentistry
2901022330
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25275635
DENTPIN
NY
Enumeration date
06/14/2017
Last updated
12/18/2020
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