RENNIGADE DENTAL GROUP PLLC

ST AUGUSTINE, FL
NPI1316600356
Entity TypeOrganization
Authorized ContactKEVON RENNIE
Owner
904-495-0881
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2021-10-18
Last Update Date2023-06-15
Business Address
RENNIGADE DENTAL GROUP PLLC
1747 US HIGHWAY 1 S
ST AUGUSTINE, FL 32084-4238
Phone number: 904-495-0881
Mailing Address
RENNIGADE DENTAL GROUP PLLC
PO BOX 70887
CLEVELAND, OH 44190-0887
Phone number:
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