Organization
RENEW DENTAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD CANTRELL JR. DMD (PRESIDENT)
(706) 768-7269
Entity
Organization
Contact information
Practice address
157 HODGES ST, CORNELIA, GA 30531-3295
(706) 894-1919
(706) 894-1925
Mailing address
PO BOX 459, CORNELIA, GA 30531-1006
(706) 894-1919
(706) 894-1925
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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