Individual
DR. BRANDON RENSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
415 VICK AVE, RALEIGH, NC 27612-5025
(919) 787-0355
Mailing address
415 VICK AVE, RALEIGH, NC 27612-5025
(605) 929-5467
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12077
NC
Other
Enumeration date
11/06/2020
Last updated
11/18/2021
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