Individual
DR. WALTER RENNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
171 ASHLEY AVE, ROOM 346, CHARLESTON, SC 29425-8908
(843) 743-9465
Mailing address
171 ASHLEY AVE, ROOM 346, CHARLESTON, SC 29425-8908
(843) 743-9465
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4491
SC
Other
Enumeration date
09/09/2008
Last updated
09/09/2008
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