Burrell, Renita C

Burrell, Renita C is an sole proprietor health care provider with primary practice located at 2457 N Mayfair Rd Ste 102, Milwaukee WI 53226-1405. She recently has only one registered license in Dental Providers / Periodontics, which is considered as her primary health care specialty. Burrell, Renita C can be contacted via phone (414) 257-1221.

Contact Information

Primary practice address
2457 N Mayfair Rd Ste 102 Milwaukee WI 53226-1405
Phone: (414) 257-1221
Fax: (414) 257-1289
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 6086 Wisconsin

Profile Details

NPI number 1326248881
LBN Legal business name Burrell, Renita C
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 23rd, 2007
Last updated Nov 7th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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