Individual
MRS. BRIELLE MARY RENZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1839 E CAPITOL AVE, BISMARCK, ND 58501-5616
(701) 255-4850
(701) 255-4852
Mailing address
1839 E CAPITOL AVE, BISMARCK, ND 58501-5616
(701) 255-4850
(701) 255-4852
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2179
ND
Other
Enumeration date
07/25/2013
Last updated
07/25/2013
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