Individual
MARY RENE NEWTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP, BS
Contact information
Practice address
5830 OAK KNOLLS RD, SIMI VALLEY, CA 93063-4520
(805) 582-1677
(805) 306-0917
Mailing address
5830 OAK KNOLLS RD, SIMI VALLEY, CA 93063-4520
(805) 582-1677
(805) 306-0917
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
287
CA
Other
Enumeration date
02/26/2010
Last updated
02/26/2010
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