| NPI | 1023562857 |
|---|---|
| Doing Business As | RENOVO ENDODONTIC STUDIO |
| Entity Type | Organization |
| Authorized Contact | MYRNA DEJESUS Insurance Coordinator 847-517-8330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2016-08-10 |