RENAISSANCE DENTAL PC
Dentist at Warren Ave, Detroit, MI

License number
Michigan 12881
Category
Dentist
Type
General Practice
Owner
Name: DR. WALLACE L WALKER JR. DDS
Title: DENTIST
Phone: (313) 340-9293
Address
Address
7330 W Warren Ave, Detroit, MI 48210
National Provider ID: 1205030277
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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RENAISSANCE DENTAL, PC

Detroit, MI

Status:
Inactive
Doing business as:
Renaissance Dental
Registration:
Jan 21, 2004
Phone:
(313) 285-8179 (Phone)
Addresses:
7330 W Warren, Detroit, MI 48210 (Physical)
Michigan (Mailing)
7330 W Warren Ave, Detroit, MI 48210
State ID:
11621D
Business type:
Domestic Professional Service Corporation
Expiration:
7-15-2007
Agent:
Wallace L. Walker, D.d.s
Categories:
Dentists

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