Individual
DR. JOANDREA LEIGH RENFROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
295 S 10TH ST, COOS BAY, OR 97420-4623
(541) 269-5353
(541) 266-0933
Mailing address
295 S 10TH ST, COOS BAY, OR 97420-4623
(541) 269-5353
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11154
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D11154
OREGON BOARD OF DENTISTRY
OR
Enumeration date
09/16/2019
Last updated
05/14/2025
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