Organization
RENAISSANCE DENTAL STUDIO, INC.
Active
Other names
Renaissance Dental Studio, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRANT S GLOVER DDS (OWNER/DENTIST)
(318) 821-3855
Entity
Organization
Contact information
Practice address
1419 ROYAL AVE, MONROE, LA 71201-5607
(318) 322-5904
(318) 322-3167
Mailing address
1419 ROYAL AVE, MONROE, LA 71201-5607
(318) 821-3855
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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