Robert Dale Renzema | |
532 Michigan Ave Holland MI 49423-4721 | |
(616) 396-8320 | |
(616) 396-8764 |
Full Name | Robert Dale Renzema |
---|---|
Speciality | Clinic/center - Dental |
Location | 532 Michigan Ave, Holland, Michigan |
Authorized Official Name and Position | Robert Renzema (DENTIST) |
Authorized Official Contact | 6163968320 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Robert Dale Renzema 532 Michigan Ave Holland MI 49423-4721 Ph: (616) 396-8320 | Robert Dale Renzema 532 Michigan Ave Holland MI 49423-4721 Ph: (616) 396-8320 |
NPI Number | 1194204636 |
---|---|
Provider Enumeration Date | 08/07/2018 |
Last Update Date | 12/12/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194204636 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 2901008507 (Michigan) | Primary |
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› Verified 5 days ago
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