| Robert Dale Renzema | |
|
532 Michigan Ave Holland MI 49423-4721 | |
| (616) 396-8320 | |
| (616) 396-8764 |
| Full Name | Robert Dale Renzema |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 532 Michigan Ave, Holland, Michigan |
| Authorized Official Name and Position | Robert Renzema (DENTIST) |
| Authorized Official Contact | 6163968320 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Dale Renzema 532 Michigan Ave Holland MI 49423-4721 Ph: (616) 396-8320 | Robert Dale Renzema 532 Michigan Ave Holland MI 49423-4721 Ph: (616) 396-8320 |
| NPI Number | 1194204636 |
|---|---|
| Provider Enumeration Date | 08/07/2018 |
| Last Update Date | 12/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194204636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2901008507 (Michigan) | Primary |
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