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NPI Code Detail

MEDICARE: PAULETTE M NEWMAN DDS INC

MEDICARE: PAULETTE M NEWMAN DDS INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1447442330
Entity Type Code : Organization
Provider Name (Legal Business Name) : PAULETTE M NEWMAN DDS INC
Provider Business Mailing Address
First Line : 2164 N MOUNTAIN VIEW AVE
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92405-4019
Country : US
Telephone Number : 909-881-9388
Fax Number : 909-886-0327
Provider Business Practice Location Address
First Line : 2164 N MOUNTAIN VIEW AVE
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92405-4019
Country : US
Telephone Number : 909-881-9388
Fax Number : 909-886-0327
Authorized Official
Title or Position : DENTIST
Name : DR. PAULETTE MARIE NEWMAN
Credential : DDS
Telephone Number : 909-881-9388
Provider Enumeration Date : 08/14/2007
Last Update Date : 08/14/2007

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Directions to “PAULETTE M NEWMAN DDS INC ” Practice Location

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