| Renaissance Smile Dental Center | |
|
2815 S Main St Suite#105 Corona CA 92882-2531 | |
| (951) 272-0417 | |
| Not Available |
| Full Name | Renaissance Smile Dental Center |
|---|---|
| Speciality | Dentist |
| Location | 2815 S Main St, Corona, California |
| Authorized Official Name and Position | Chirag Pramod Vora (PRESIDENT) |
| Authorized Official Contact | 9512720417 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renaissance Smile Dental Center 2815 South Main Street Suite#105 Corona CA 92882 Ph: (951) 272-0417 | Renaissance Smile Dental Center 2815 S Main St Suite#105 Corona CA 92882-2531 Ph: (951) 272-0417 |
| NPI Number | 1023550969 |
|---|---|
| Provider Enumeration Date | 11/09/2016 |
| Last Update Date | 11/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023550969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 47204 (California) | Primary |
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