Organization
YORK DENTAL GROUP, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT JOSEPH RENNER JR. D.D.S. (PRESIDENT)
(803) 684-2366
Entity
Organization
Contact information
Practice address
333 E LIBERTY ST, YORK, SC 29745-1575
(803) 684-2366
(803) 684-9101
Mailing address
PO BOX 712, YORK, SC 29745-0712
(803) 684-2366
(803) 684-9101
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2362
SC
122300000X
Dentist
Primary
4294
SC
Other
Enumeration date
05/31/2011
Last updated
05/31/2011
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