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Organization
RENU MICHELSEN DENTAL CORPORATION
Active
Organization
RENU MICHELSEN DENTAL CORPORATION
Active
Other names
Michelsen Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENU MICHELSEN DDS (DENTIST)
(714) 914-1851
Entity
Organization
Contact information
Practice address
172 N TUSTIN ST STE 104, ORANGE, CA 92867-7780
(714) 538-1178
Mailing address
172 N TUSTIN ST STE 104, ORANGE, CA 92867-7780
(714) 538-1178
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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