Organization
KRENZ DENTAL CORP. LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON C KRENZ DMD (PRESIDENT)
(815) 538-5316
Entity
Organization
Contact information
Practice address
704 INDIANA AVE, MENDOTA, IL 61342-1617
(815) 538-5316
(815) 539-7626
Mailing address
PO BOX 167, MENDOTA, IL 61342-0167
(815) 538-5316
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
04/04/2007
Last updated
08/22/2020
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