| NPI | 1295975514 |
|---|---|
| Doing Business As | RENAISSANCE DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | ANITA WELLS Dentist 919-786-6766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NC 7461) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: NC 7945) |
| 261QD0000X Clinic/Center, Dental (Licence: NC 7853) | |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2009-02-26 |