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Audrey Mae Rawson, D.D.S. — NPI 1215290390, Albuquerque, NM | NPI Central

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Audrey Mae Rawson, D.D.S.

NPI 1215290390 · Pediatric Dentistry · Albuquerque, NM

Provider details

NPI number: 1215290390
Entity type: Individual
Primary specialty: Pediatric DentistryDental Providers
Credential: D.D.S.
Sex: Female
Sole proprietor: Yes
License: DD5246 (NM)

Specialties & taxonomies

Pediatric DentistryPrimary1223P0221XLicense DD5246 (NM)
Dental Providers
Dentist122300000XLicense 2646 (HI)
Dental Providers
Pediatric Dentistry1223P0221XLicense DT-2646 (HI)
Dental Providers
Pediatric Dentistry1223P0221XLicense DD4404 (NM)
Dental Providers
Pediatric Dentistry1223P0221XLicense 2646 (HI)
Dental Providers

Practice location

4620 Jefferson Ln Ne Ste C

Albuquerque, NM 87109-2149

Phone: (505) 888-3520

Approximate (ZIP-level) locationGet directions

More NM providers

Mailing address

4620 Jefferson Ln Ne Ste C

Albuquerque, NM 87109-2149

Additional practice locations (1)

1111 S Grand Ave Apt 503
Los Angeles, CA 90015-2755
Phone: (951) 543-7439

Registry dates

Enumerated: 2012-06-22
Last updated: 2023-07-24
Certified: 2023-07-24

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.