| Renaissance Dental Pc | |
|
7330 W Warren Ave Detroit MI 48210-1041 | |
| (313) 340-9293 | |
| (313) 340-9293 |
| Full Name | Renaissance Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7330 W Warren Ave, Detroit, Michigan |
| Authorized Official Name and Position | Wallace L Walker (DENTIST) |
| Authorized Official Contact | 3133409293 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renaissance Dental Pc 7330 W Warren Ave Detroit MI 48210-1041 Ph: (313) 340-9293 | Renaissance Dental Pc 7330 W Warren Ave Detroit MI 48210-1041 Ph: (313) 340-9293 |
| NPI Number | 1205030277 |
|---|---|
| Provider Enumeration Date | 06/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205030277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12881 (Michigan) | Primary |
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