Individual
YUXUAN REN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DENTIST
Contact information
Practice address
605 RANDOLPH RD, LAWTON, OK 73503-4535
(580) 442-5925
Mailing address
8025 BONAVENTURE DR, LAS VEGAS, NV 89147-5649
(928) 266-3626
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8211
NV
124Q00000X
Dental Hygienist
—
—
Other
Enumeration date
07/18/2016
Last updated
06/24/2026
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