| NPI | 1508293531 |
|---|---|
| Doing Business As | RENEW DENTAL |
| Entity Type | Organization |
| Authorized Contact | GEORGE JOSEPH MARQUIS Owner 662-823-7900 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: MS 1452-71) |
| Enumeration Date | 2013-10-04 |
| Last Update Date | 2016-10-05 |