| NPI | 1790510055 |
|---|---|
| Doing Business As | RENAISSANCE FAMILY AND COSMETIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | SIRISHA KRISHNAMURTHY CEO 916-983-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-09-05 |
| Last Update Date | 2024-09-05 |