Individual
REBECCA RENELUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5900 STATE FARM DR, ROHNERT PARK, CA 94928-2149
(707) 559-7500
Mailing address
2012 AVENUE D SW, WINTER HAVEN, FL 33880-2544
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN25540
FL
1223P0221X
Pediatric Dentistry
Primary
108919
CA
Other
Enumeration date
07/28/2021
Last updated
07/11/2023
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