Renaissance Dental Pc
General Practice Dentistry in Detroit, MI(View on Map)
Legal Business Name
Renaissance Dental Pc
NPI Number
1205030277
NPI Type
Organization
Enumeration Date
06/13/2007
Specialties
(Taxonomies)Licenses
State
Michigan
License Number
12881
Contact
Information
Purpose
Mailing
Location
Address
7330 W WARREN AVE
7330 W WARREN AVE
City
Detroit
Detroit
State
MI
MI
Postal Code
48210-1041
48210-1041
Country
US
US
Telephone Number
(313) 340-9293
(313) 340-9293
Authorized Official
Name
Dr. Wallace Walker
Title or Position
DENTIST
Telephone Number
(313) 340-9293
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/22/2020
Provider Address
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