Individual
MISS RENEE J HOMICK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RD H
Contact information
Practice address
190 CORAM AVE, 2ND FLOOR, SHELTON, CT 06484
(203) 924-4115
(203) 924-1301
Mailing address
416 MAIN ST, UNIT #1, WALLINGFORD, CT 06492
(203) 415-4297
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
005988
CT
Other
Enumeration date
04/12/2006
Last updated
07/08/2007
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