Individual
DAQIU REN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
123 N 13TH ST, ALLENTOWN, PA 18102-3758
(610) 572-1896
Mailing address
1345 MARTIN CT APT 933, BETHLEHEM, PA 18018-2584
(267) 593-4513
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS043223
PA
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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