# ROBERT PAUL RENCK II

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1013235522
- **Gender:** Man
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 14903 | MD | — |
| 1223G0001X | General Practice Dentistry | 58826 | CA | — |
| 1223G0001X | General Practice Dentistry | 60890587 | WA | Yes |
| 1223G0001X | General Practice Dentistry | 9988 | CO | — |

## Other

- **Enumeration date:** 05/07/2010
- **Last updated:** 10/11/2018