Individual
DR. RENELLE CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6525 BURDEN BLVD, PASCO, WA 99301-9822
(509) 728-9460
Mailing address
1780 FORT RD, TOPPENISH, WA 98948-9556
(907) 854-8705
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
60763024
WA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
D11411
OR
Other
Enumeration date
01/04/2020
Last updated
04/10/2023
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