Provider Demographics
NPI:1235247255
Name:MU-RENGER, XIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:XIN
Middle Name:
Last Name:MU-RENGER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1615 LIMEKILN PIKE
Mailing Address - Street 2:
Mailing Address - City:DRESHER
Mailing Address - State:PA
Mailing Address - Zip Code:19025-1007
Mailing Address - Country:US
Mailing Address - Phone:215-643-4740
Mailing Address - Fax:215-643-9131
Practice Address - Street 1:1615 LIMEKILN PIKE
Practice Address - Street 2:
Practice Address - City:DRESHER
Practice Address - State:PA
Practice Address - Zip Code:19025-1007
Practice Address - Country:US
Practice Address - Phone:215-643-4740
Practice Address - Fax:215-643-9131
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA0350761223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice