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Individual

DR. NATHANIEL A RENNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
22 NORTON RD, GREENEVILLE, TN 37745-3065
(423) 639-7575
(423) 639-7572
Mailing address
133 MAGNOLIA DR, GREENEVILLE, TN 37743-5430
(423) 638-2669

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8394
TN

Other

Enumeration date
07/24/2006
Last updated
07/08/2007
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