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Individual

MS. WINONA MAE NEWMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
3112 DICK POND ROAD, MYRTLE BEACH, SC 29588-4833
(843) 294-5437
(843) 294-5440
Mailing address
3112 DICK POND ROAD, MYRTLE BEACH, SC 29588-4833
(843) 294-5437
(843) 294-5440

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
012326
GA
122300000X
Dentist
0401008654
VA
122300000X
Dentist
Primary
3125
SC
1223P0221X
Pediatric Dentistry
0476 PD
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ZA929590
SC
05
ZX3125
SC
Enumeration date
01/21/2007
Last updated
03/03/2010
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