IndividualActive
Audrey Boros, DDS
NPI 1760794572 · Oral and Maxillofacial Pathology Dentistry · Los Angeles, CA
Provider details
- NPI number
- 1760794572
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Pathology DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- License
- 61108 (CA)
Specialties & taxonomies
Dental Providers
Practice location
11500 W Olympic Blvd
Suite 390
Los Angeles, CA 90064-1524
Phone: (310) 235-1164
Approximate (ZIP-level) locationGet directions
Mailing address
11500 W Olympic Blvd
Los Angeles, CA 90064-1524
Registry dates
- Enumerated
- 2010-07-09
- Last updated
- 2013-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.