Organization

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)

Code

1223G0001X

Primary Taxonomy

Yes

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

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