Organization
ROBERT DALE RENZEMA
Active
Parent organization
ROBERT D RENZEMA
Organization subpart
Yes
Provider details
NPI number
Legal business name
ROBERT D RENZEMA
Authorized official
ROBERT RENZEMA (DENTIST)
(616) 396-8320
Entity
Organization
Contact information
Practice address
532 MICHIGAN AVE, HOLLAND, MI 49423-4721
(616) 396-8320
(616) 396-8764
Mailing address
532 MICHIGAN AVE, HOLLAND, MI 49423-4721
(616) 396-8320
(616) 396-8764
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2901008507
MI
Other
Enumeration date
08/07/2018
Last updated
12/12/2018
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