DR. Jerry Allen Rensch, D.M.D.

NPI #1639176654 in Portland, Oregon

Provider Information

NPI Number
1639176654
Entity Type
Individual
Name
DR. Jerry Allen Rensch, D.M.D.
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Credential
D.M.D.
Enumeration Date
Jul 5, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
4707 NE TILLAMOOK ST
State
Oregon
ZIP Code
97213-2057
Phone
(502) 287-9710

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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