Stephen Lee Renner D.D.S. P.A.
Dentist, General Practice in Raleigh, NC. Organization (NPI-2).
NPI number1124196993
StatusActive
Last updated in NPPESJun 23, 2008
Details
- NPI
- 1124196993
- Entity type
- Organization (NPI-2)
- Legal business name
- Stephen Lee Renner D.D.S. P.A.
- Organization subpart
- No
- Enumeration date
- Dec 1, 2006
- Last updated
- Jun 23, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 3217 | NC | Yes |
Practice location
4936 Windy Hill DrA
Raleigh, NC 27609-4930
Phone 919-876-3196
Mailing address
4936 Windy Hill DrA
Raleigh, NC 27609-4930
Phone 919-876-3196
Authorized official
Stephen Lee Renner
Dentist
9198763196
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