| Organization Name: | MAYNES & RENGER DENTISTRY |
| NPI Number: | 1477661353 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | XIN MU RENGER (OWNER/DENTIST) |
| Mailing Address: | 1615 Limekiln Pike Dresher |
| State: | PA US |
| Postal Code: | 190251007 |
| Phone Number: | 2156434740 |
| Fax Number: | 2156439131 |
| NPI Enumeration Date: | 08/29/2006 |
| NPI Last Update Date: | 08/19/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 035076 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |