Provider / Organization | NPI | Date Certified |
---|---|---|
KELSEY PAIGE RENN | 1376275768 | 2022-06-26 |
Kelsey Paige Renn is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1376275768. Registration indicates Kelsey Paige Renn is a provider of access to dentists-general services with a specialization in Dental Providers, Dentist (Dental Providers, Dentist) (Dentist, ) (Dental, ) (Dentist, Dental Providers)
Entity Type | Individual |
Provider Name | Kelsey Paige Renn DDS |
Practice Office Address | 650 W BALTIMORE ST BALTIMORE, MD US |
Practice Office Telephone | 4107067472 |
Mailing Address | 610 ROLLING HILL WALK APT 101 ODENTON, MD 211132405 US |
Business Telephone | 3017128019 |
Code | Practice | License No State |
---|---|---|
122300000X PRIMARY | Access to Dentists-General Dental Providers Dentist Dental Providers Dentist Dentist Dental Dentist Dental Providers | 17536
MD |