Renner Dental Management Llc.

NPI #1245475243 in Aberdeen, Maryland

Provider Information

NPI Number: 1245475243
Entity Type: Organization
Organization Name: Renner Dental Management Llc.
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 5, 2008
Last Updated: Dec 5, 2008

Practice Location

Address: 122 N PHILADELPHIA BLVD
City: Aberdeen
State: Maryland
ZIP Code: 21001-2513
Phone: (410) 272-2636

Authorized Official

Name: DR. KERRY CROCKEN, DDS
Title: OWNER
Phone: (410) 272-2636

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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