| Renner And Martin Dds Sc | |
|
1111 Delafield St. #319 Waukesha WI 53188-3407 | |
| (262) 549-3640 | |
| Not Available |
| Full Name | Renner And Martin Dds Sc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1111 Delafield St. #319, Waukesha, Wisconsin |
| Authorized Official Name and Position | William Robert Renner (OWNER) |
| Authorized Official Contact | 2625493640 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renner And Martin Dds Sc 903 Lynne Court Waukesha WI 53186-3407 Ph: (262) 547-8780 | Renner And Martin Dds Sc 1111 Delafield St. #319 Waukesha WI 53188-3407 Ph: (262) 549-3640 |
| NPI Number | 1063634228 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063634228 | NPI | - | NPPES |
| 33399400 | Other | WI | BADGERCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5002149-015 (Wisconsin) | Primary |
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