Organization
RENAISSANCE DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYLAN J HANSEN DDS (DENTIST)
(919) 363-8444
Entity
Organization
Contact information
Practice address
800 W WILLIAMS STREET, SUITE 240, APEX, NC 27502
(919) 323-8444
Mailing address
800 W WILLIAMS STREET, SUITE 240, APEX, NC 27502
(919) 323-8444
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9343
NC
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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