| Renew Dental Pllc | |
|
301 E Bethany Home Rd Ste C194 Phoenix AZ 85012-1266 | |
| (602) 277-9088 | |
| (602) 277-8889 |
| Full Name | Renew Dental Pllc |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 301 E Bethany Home Rd Ste C194, Phoenix, Arizona |
| Authorized Official Name and Position | Douglas Gary Benting (PROSTHODONTIST) |
| Authorized Official Contact | 6022779088 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renew Dental Pllc 301 E Bethany Home Rd Ste C194 Phoenix AZ 85012-1266 Ph: (602) 277-9088 | Renew Dental Pllc 301 E Bethany Home Rd Ste C194 Phoenix AZ 85012-1266 Ph: (602) 277-9088 |
| NPI Number | 1245252287 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 04/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245252287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | 06755 (Arizona) | Primary |
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