Individual
DR. AUDREY LEA BOROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
11500 W OLYMPIC BLVD, SUITE 390, LOS ANGELES, CA 90064-1524
(310) 235-1164
Mailing address
11500 W OLYMPIC BLVD, SUITE 390, LOS ANGELES, CA 90064-1524
(310) 235-1164
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
61108
CA
Other
Enumeration date
07/09/2010
Last updated
09/11/2013
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