Individual
DR. MARK DAVID ZAAYENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1413 VALLE VISTA BLVD, PEKIN, IL 61554-6223
(309) 346-4340
Mailing address
1928 QUAIL HOLLOW RD, PEKIN, IL 61554-6351
(309) 346-3290
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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