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Dr. Kelly Ren, DDS
Student in an Organized Health Care Education/Training Program in San Mateo, California
NPI 1518593649

Kelly Ren is a Student in an Organized Health Care Education/Training Program based in San Mateo, CA. Kelly Ren practices in San Mateo, CA and has the professional credentials of DDS. The NPI Number for Kelly Ren is 1518593649 and holds a License No. DDS105551 (California).

The current practice location address for Kelly Ren is 360 Hillsdale Mall, San Mateo, CA and can be reached out via phone at 650-850-8502.

Location: 360 Hillsdale Mall, San Mateo, CA, 94403-3425
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518593649
Provider Name
Kelly Ren
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
360 Hillsdale Mall, San Mateo, CA, 94403-3425
Phone Number
650-850-8502
Fax Number
Provider Enumeration Date
03/20/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
360 Hillsdale Mall
City
San Mateo
State
California
Zip
94403-3425
Phone Number
650-850-8502
Fax Number
person
Provider Business Mailing Address Details
Address
360 Hillsdale Mall
City
San Mateo
State
California
Zip
94403-3425
Phone Number
650-850-8502
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
DDS105551 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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