| NPI | 1194926212 |
|---|---|
| Doing Business As | RENAISSANCE DENTAL |
| Entity Type | Organization |
| Authorized Contact | LINDA J. ALEXON Practice Administrator 916-783-2333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 47541) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2020-08-22 |