| Krenz Dental Corp. Ltd | |
|
704 Indiana Ave Mendota IL 61342-1617 | |
| (815) 538-5316 | |
| (815) 539-7626 |
| Full Name | Krenz Dental Corp. Ltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 704 Indiana Ave, Mendota, Illinois |
| Authorized Official Name and Position | Jon C Krenz (PRESIDENT) |
| Authorized Official Contact | 8155385316 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Krenz Dental Corp. Ltd Po Box 167 Mendota IL 61342-0167 Ph: (815) 538-5316 | Krenz Dental Corp. Ltd 704 Indiana Ave Mendota IL 61342-1617 Ph: (815) 538-5316 |
| NPI Number | 1962524363 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962524363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Illinois) | Primary |
West Side Family Dentistry, Ltd Dental Clinic Medicare: Medicare Enrolled Practice Location: 709 Plaza Dr, Mendota, IL 61342 Phone: 815-539-7004 Fax: 815-539-7060 | |
Ernesto A Villalobos, Dds, Ms, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1318 Meriden St, Mendota, IL 61342 Phone: 815-539-3000 |