NPI | 1073789293 |
---|---|
Doing Business As | RENAISSANCE DENTAL |
Entity Type | Organization |
Authorized Contact | MICHAEL PHILLIP SANCHEZ Dentist Owner 918-272-0707 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 5330) |
Enumeration Date | 2008-05-07 |
Last Update Date | 2008-05-07 |