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Audrey Imperial

NPI 1972137644 · on the registry since 2020

Practice

Address
59 Dg Af Postgraduate Dental School
2133 Pepperrell St Bldg 3352
Jbsa - Lackland, TX 78236
Phone
(210) 292-6258

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-07-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas