# STEVEN RENAS DMD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Eagle Mountain Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073267829
- **Authorized official:** STEVEN C RENAS DMD (PRESIDENT)
- **Authorized official phone:** (630) 624-1265

## Contact information

- **Practice address:** 8455 BOAT CLUB RD STE 175, FORT WORTH, TX 76179-3640
- **Practice address phone:** (817) 420-6676
- **Mailing address:** 8455 BOAT CLUB RD STE 175, FORT WORTH, TX 76179-3640
- **Mailing address phone:** (817) 420-6676

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/10/2022
- **Last updated:** 02/10/2022