Individual
DR. JASON RENZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
11559 CUMBERLAND RD, SUITE 100, FISHERS, IN 46037-9784
(317) 579-5400
(317) 579-5410
Mailing address
14958 BONNER CIR, FISHERS, IN 46037-5512
(574) 952-7324
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012356A
IN
Other
Enumeration date
07/07/2015
Last updated
01/04/2017
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