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Ms. Audrey Lee Wingo
General Practice Dentistry in Seaside, California
NPI 1376857771

Audrey Lee Wingo is a General Practice Dentistry based in Felton, CA and is specialized in General Practice. Audrey Lee Wingo practices in Seaside, CA. The NPI Number for Audrey Lee Wingo is 1376857771 and holds a License No. 59475 (California).

The current practice location address for Audrey Lee Wingo is 1513 Fremont Blvd # E-2, Seaside, CA and can be reached out via phone at 831-324-4492.

Location: 1513 Fremont Blvd # E-2, Seaside, CA, 95018-9402
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376857771
Provider Name
Audrey Lee Wingo
Credential
Provider Entity Type
Individual
Gender
Female
Address
1513 Fremont Blvd # E-2, Seaside, CA, 95018-9402
Phone Number
831-324-4492
Fax Number
Provider Enumeration Date
07/28/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1513 Fremont Blvd # E-2
City
Seaside
State
California
Zip
93955-4319
Phone Number
831-324-4492
Fax Number
person
Provider Business Mailing Address Details
Address
1513 Fremont Blvd # E-2
City
Seaside
State
California
Zip
93955-4319
Phone Number
831-324-4492
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
59475 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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