Organization
BRANDON D. RENSCH, D.D.S., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON D. RENSCH D.D.S. (OWNER)
(605) 929-5467
Entity
Organization
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609477405
NA
NC
01
—
1700041845
NA
NC
Enumeration date
10/15/2021
Last updated
11/18/2021
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