| NPI | 1346136520 |
|---|---|
| Doing Business As | RENAISSANCE DENTAL STUDIO, INC. |
| Entity Type | Organization |
| Authorized Contact | GRANT S GLOVER Owner/Dentist 318-821-3855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-06-16 |
| Last Update Date | 2025-06-16 |