| Renita C Burrell, Dds, Ms, S.c. | |
|
2457 N Mayfair Rd Ste 102 Milwaukee WI 53226-1405 | |
| (414) 257-1221 | |
| Not Available |
| Full Name | Renita C Burrell, Dds, Ms, S.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2457 N Mayfair Rd Ste 102, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Renita C Burrell (PERIODONTIST) |
| Authorized Official Contact | 2623840092 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renita C Burrell, Dds, Ms, S.c. 2457 N Mayfair Rd Ste 102 Milwaukee WI 53226-1405 Ph: () - | Renita C Burrell, Dds, Ms, S.c. 2457 N Mayfair Rd Ste 102 Milwaukee WI 53226-1405 Ph: (414) 257-1221 |
| NPI Number | 1598040263 |
|---|---|
| Provider Enumeration Date | 10/13/2011 |
| Last Update Date | 10/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598040263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 6086-15 (Wisconsin) | Primary |
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