Renaissance Dental Pc

LBN: Renaissance Dental Pc
Renaissance Dental Pc is an health care organization with primary practice located at 7330 W Warren Ave , Detroit MI 48210-1041. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Renaissance Dental Pc can be contacted via phone (313) 340-9293, or through Walker, Wallace L via phone (313) 340-9293.

Contact Information

Primary practice address
7330 W Warren Ave Detroit MI 48210-1041
Phone: (313) 340-9293
Fax: (313) 340-9293
Website:
Map and Directions
Authorized official contact:
Name: Walker, Wallace L Doctor of Dental Surgery (DDS)
Phone: (313) 340-9293

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 12881 Michigan

Profile Details

NPI number 1205030277
LBN Legal business name Renaissance Dental Pc
DBA Doing business as
Authorized official Walker, Wallace L Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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