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Individual

AUDRA DEE MYERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-3000
Mailing address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-3000

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
00009280
CO
1223P0300X
Periodontics
00009280
CO
1223P0300X
Periodontics
Primary
9280
CO

Other

Enumeration date
05/03/2007
Last updated
06/30/2023
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