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 |