DR. Renay Ivens

NPI #1669511192 in Waitsfield, Vermont

Provider Information

NPI Number: 1669511192
Entity Type: Individual
Name: DR. Renay Ivens
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 5, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 138 FIDDLERS GRN
City: Waitsfield
State: Vermont
ZIP Code: 05673-6007
Phone: (802) 496-2524

Specialties & Taxonomy Codes

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

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