Organization
RENAISSANCE ENDODONTICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YAKOV YOUNG (OFFICE MANAGER)
(248) 395-9800
Entity
Organization
Contact information
Practice address
23077 GREENFIELD RD, SUITE 285, SOUTHFIELD, MI 48075-3709
(248) 395-9800
(248) 395-9778
Mailing address
PO BOX 87068, CANTON, MI 48187-0068
(248) 395-9800
(248) 395-9778
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
07/10/2006
Last updated
08/22/2020
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