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Individual

DR. JON C KRENZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
704 INDIANA AVE, MENDOTA, IL 61342-1617
(815) 538-5316
(815) 539-7626
Mailing address
P.O. BOX 167, MENDOTA, IL 61342
(815) 538-5316
(815) 539-7626

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
IL

Other

Enumeration date
04/09/2007
Last updated
07/08/2007
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