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Individual

MS. MAUREEN ROBERTA TITUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDHAP, BS

Contact information

Practice address
1326 11TH ST, LOS OSOS, CA 93402-1332
(805) 528-0612
(805) 528-0612
Mailing address
1326 11TH ST, LOS OSOS, CA 93402-1332
(805) 528-0612
(805) 528-0612

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDHAP 119
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
H00119-01
RDHAP
CA
Enumeration date
01/16/2007
Last updated
07/08/2007
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