Renaissance Dental Group, LLC
NPI #1407145204 in Farmington, Connecticut
Provider Information
- NPI Number
- 1407145204
- Entity Type
- Organization
- Organization Name
- Renaissance Dental Group, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 1, 2011
- Last Updated
- Apr 1, 2011
Practice Location
- Address
- 11 SOUTH ROAD
- Address 2
- SUITE 210
- City
- Farmington
- State
- Connecticut
- ZIP Code
- 06032
- Phone
- (860) 321-7715
Authorized Official
- Name
- DR. RUEY-JANE TSAI, D.M.D.
- Title
- MEMBER
- Phone
- (860) 321-7715
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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