| John P Rende Dds Sc | |
|
1313-80th Street Kenosha WI 53143-5900 | |
| (262) 657-1980 | |
| (262) 657-5277 |
| Full Name | John P Rende Dds Sc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1313-80th Street, Kenosha, Wisconsin |
| Authorized Official Name and Position | John P Rende (OWNER) |
| Authorized Official Contact | 2626571980 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John P Rende Dds Sc 1313-80th Street Kenosha WI 53143-5900 Ph: (262) 657-1980 | John P Rende Dds Sc 1313-80th Street Kenosha WI 53143-5900 Ph: (262) 657-1980 |
| NPI Number | 1417065970 |
|---|---|
| Provider Enumeration Date | 08/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417065970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2943-015 (Wisconsin) | Primary |
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