Organization
DR. EDWARD J. BRENNAN, JR. D.D.S. & DR. MARK J. PELOQUIN, D.D.S. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK J. PELOQUIN D.D.S. (VICE PRESIDENT)
(708) 301-8660
Entity
Organization
Contact information
Practice address
15915 S CRYSTAL CREEK DR, SUITE B, HOMER GLEN, IL 60491-9284
(708) 301-8660
(708) 301-8661
Mailing address
15915 S CRYSTAL CREEK DR, SUITE B, HOMER GLEN, IL 60491-9284
(708) 301-8660
(708) 301-8661
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
04/17/2007
Last updated
08/22/2020
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