| Renaissance Dental | |
|
3984 Douglas Blvd Suite 170 Roseville CA 95661-4245 | |
| (916) 783-2333 | |
| (916) 783-2316 |
| Full Name | Renaissance Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3984 Douglas Blvd, Roseville, California |
| Authorized Official Name and Position | Linda J. Alexon (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 9167832333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renaissance Dental 3984 Douglas Blvd Suite 170 Roseville CA 95661-4245 Ph: (916) 783-2333 | Renaissance Dental 3984 Douglas Blvd Suite 170 Roseville CA 95661-4245 Ph: (916) 783-2333 |
| NPI Number | 1194926212 |
|---|---|
| Provider Enumeration Date | 05/29/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194926212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 47541 (California) | Primary |
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