Organization
RENEWAL DERMATOLOGY AND LASER, APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANNE C KAMENETSKY M.D. (OWNER)
(530) 550-0440
Entity
Organization
Contact information
Practice address
10870 BROCKWAY RD, TRUCKEE, CA 96161-2054
(530) 550-0440
(530) 582-8853
Mailing address
PO BOX 34120, RENO, NV 89533-4120
(775) 747-5050
(775) 329-8596
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G75315
CA
Other
Enumeration date
09/14/2007
Last updated
12/26/2012
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