Individual
CHARLENE MELISSA AULD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2310 CRAVEN ST, SAN DIEGO, CA 92136-5596
(619) 556-8252
Mailing address
10539 ABALONE LANDING TER, SAN DIEGO, CA 92130-8711
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
31036
CA
Other
Enumeration date
02/06/2006
Last updated
07/08/2007
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