Individual provider · Type 1 NPI
Rahul Renjen, DDS
Orthodontics and Dentofacial Orthopedics Dentistry · Ithaca, NY
Practice location
103 White Park Rd
Ithaca, NY 14850-2258
Mailing address
2124 Penfield Rd
Penfield, NY 14526-1736
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 051708-1 (NY) |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DS037113 (PA) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
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About NPI 1376677633
Rahul Renjen, DDS's National Provider Identifier is 1376677633, issued on Mar 16, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Ithaca, NY. The record was last updated on Apr 14, 2015.