| Renaissance Endodontics, Pllc | |
|
23077 Greenfield Rd Suite 285 Southfield MI 48075-3709 | |
| (248) 395-9800 | |
| (248) 395-9778 |
| Full Name | Renaissance Endodontics, Pllc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 23077 Greenfield Rd, Southfield, Michigan |
| Authorized Official Name and Position | Yakov Young (OFFICE MANAGER) |
| Authorized Official Contact | 2483959800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renaissance Endodontics, Pllc Po Box 87068 Canton MI 48187-0068 Ph: (248) 395-9800 | Renaissance Endodontics, Pllc 23077 Greenfield Rd Suite 285 Southfield MI 48075-3709 Ph: (248) 395-9800 |
| NPI Number | 1174557482 |
|---|---|
| Provider Enumeration Date | 07/10/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174557482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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