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Robert Dale Renzema
Dental Clinic/Center in Holland, Michigan
NPI 1194204636

Robert Dale Renzema is a Dental Clinic/Center based in Holland, MI and is specialized in Dental. Robert Dale Renzema practices in Holland, MI. The NPI Number for Robert Dale Renzema is 1194204636 and holds a License No. 2901008507 (Michigan).

The current practice location address for Robert Dale Renzema is 532 Michigan Ave, Holland, MI and can be reached out via phone at 616-396-8320 and via fax at 616-396-8764.

Location: 532 Michigan Ave, Holland, MI, 49423-4721
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194204636
Provider Name
Robert Dale Renzema
Credential
Provider Entity Type
Organization
Address
532 Michigan Ave, Holland, MI, 49423-4721
Phone Number
616-396-8320
Fax Number
616-396-8764
Provider Enumeration Date
08/07/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
532 Michigan Ave
City
Holland
State
Michigan
Zip
49423-4721
Phone Number
616-396-8320
Fax Number
616-396-8764
person
Provider Business Mailing Address Details
Address
532 Michigan Ave
City
Holland
State
Michigan
Zip
49423-4721
Phone Number
616-396-8320
Fax Number
616-396-8764
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
2901008507 (Michigan)
Definition
Definition to come...
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