Renaissance Oral Surgery PC

NPI #1235325499 in Roseville, Michigan

Provider Information

NPI Number
1235325499
Entity Type
Organization
Organization Name
Renaissance Oral Surgery PC
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Sep 21, 2007
Last Updated
Oct 1, 2013

Practice Location

Address
20805 E 12 MILE RD
Address 2
STE 110
ZIP Code
48066
Phone
(586) 778-2100

Authorized Official

Name
MR. HENRY BRYAN, DDS
Title
PRESIDENT
Phone
(586) 778-2100

Specialties & Taxonomy Codes

Specialty
Oral & Maxillofacial Surgery
Plastic Surgery - Plastic Surgery Within the Head and NeckPlastic Surgery Within the Head and Neck
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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