Rennigade Dental Group Pllc
NPI #1316600356 in St Augustine, Florida
Provider Information
- NPI Number
- 1316600356
- Entity Type
- Organization
- Organization Name
- Rennigade Dental Group Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 18, 2021
- Last Updated
- Jun 15, 2023
Practice Location
- Address
- 1747 US HIGHWAY 1 S
- City
- St Augustine
- State
- Florida
- ZIP Code
- 32084-4238
- Phone
- (904) 495-0881
Authorized Official
- Name
- KEVON RENNIE
- Title
- OWNER
- Phone
- (904) 495-0881
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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