Renew Dental
NPI #1205654407 in Sioux Falls, South Dakota
Provider Information
- NPI Number
- 1205654407
- Entity Type
- Organization
- Organization Name
- Renew Dental
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Sep 27, 2024
- Last Updated
- Sep 27, 2024
Practice Location
- Address
- 6301 W 41ST ST
- City
- Sioux Falls
- State
- South Dakota
- ZIP Code
- 57106-1217
- Phone
- (402) 741-0545
Authorized Official
- Name
- JADE KOCH, DDS
- Title
- DENTIST
- Phone
- (402) 741-0545
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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