Individual
DR. EDWIN J., JR. RENNELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
34441 8 MILE RD, STE 107, LIVONIA, MI 48152-4013
(248) 471-5838
(248) 474-4603
Mailing address
34441 8 MILE RD, STE 107, LIVONIA, MI 48152-4013
(248) 471-5838
(248) 474-4603
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
2901007913
MI
Other
Enumeration date
06/15/2005
Last updated
07/08/2007
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