Individual
JOSHUA MATTHEW RENKEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7000 PIPER GLEN DR, STE B, SPRINGFIELD, IL 62711-7390
(217) 483-7177
Mailing address
901 MONARCH DR, CHATHAM, IL 62629-9672
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
05/24/2005
Last updated
07/08/2007
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