Most Relevant Information
Provider Data
| NPI Number: | 1003546334 |
| Provider Name: | DEMRA RENFRO DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 12789 |
Most Important Dates
| Enumeration Date: | 06/10/2022 |
| Last Updated: | 06/10/2022 |
Provider Practice Location
1101 GREAT FALLS CT
KNIGHTDALE
NC
275457307
Practice Location Phone/Fax
| Phone: | 9194151885 |
| Fax: |
Provider Mailing Location
3316 JONES LAKE RD
FUQUAY VARINA
NC
275263760
Provider Mailing Phone/Fax
| Phone: | 4795860146 |
| Fax: |