Individual
DEMRA RENFRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9404 S ELWOOD AVE, JENKS, OK 74037-2317
(182) 992-2989
Mailing address
3316 JONES LAKE RD, FUQUAY VARINA, NC 27526-3760
(479) 586-0146
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12789
NC
Other
Enumeration date
06/10/2022
Last updated
06/16/2025
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