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Individual
RENE DEWENTER
Active
Individual
RENE DEWENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
108836
CA
1223G0001X
General Practice Dentistry
11052110-9921
UT
1223G0001X
General Practice Dentistry
DE61285675
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
VAD0000
—
CA
Enumeration date
11/14/2018
Last updated
06/17/2023
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