Renewal Dermatology and Laser, Apmc

NPI #1619163409 in Truckee, California

Provider Information

NPI Number: 1619163409
Entity Type: Organization
Organization Name: Renewal Dermatology and Laser, Apmc
Primary Specialty: Dermatology
Enumeration Date: Sep 14, 2007
Last Updated: Dec 26, 2012

Practice Location

Address: 10870 BROCKWAY RD
City: Truckee
State: California
ZIP Code: 96161-2054
Phone: (530) 550-0440

Authorized Official

Name: DIANNE C KAMENETSKY, M.D.
Title: OWNER
Phone: (530) 550-0440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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