Individual
DR. RENITA C BURRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2457 N MAYFAIR RD, STE 102, MILWAUKEE, WI 53226-1405
(414) 257-1221
(414) 257-1289
Mailing address
N68W5460 COLUMBIA RD, CEDARBURG, WI 53012
(262) 384-0092
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
6086
WI
Other
Enumeration date
07/23/2007
Last updated
11/07/2011
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