Individual
DEREK P GRZANICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9016 N ALLEN RD, SUITE B, PEORIA, IL 61615-1513
(309) 690-4500
(309) 690-4500
Mailing address
5518 W BROOKMERE DRIVE, EDWARDS, IL 61528-9407
(309) 683-2877
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
29339
TX
1223G0001X
General Practice Dentistry
019026724
IL
Other
Enumeration date
10/20/2006
Last updated
09/12/2025
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