# RENKEN DENTISTRY OF TEXAS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487173266
- **Authorized official:** ALICIA JONES (ADMINISTRATOR)
- **Authorized official phone:** (512) 667-9056

## Contact information

- **Practice address:** 5725 WILLIAMS DR STE 101, GEORGETOWN, TX 78633-2216
- **Practice address phone:** (512) 667-9056
- **Mailing address:** 5725 WILLIAMS DR, SUITE 101, GEORGETOWN, TX 78633

## Taxonomy

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

## Other

- **Enumeration date:** 09/13/2017
- **Last updated:** 11/25/2019
