Joshua Matthew Renken, DDS

NPI #1467455378 in Springfield, Illinois

Provider Information

NPI Number
1467455378
Entity Type
Individual
Name
Joshua Matthew Renken, DDS
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
May 24, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
7000 PIPER GLEN DR
Address 2
STE B
ZIP Code
62711-7390
Phone
(217) 483-7177

Specialties & Taxonomy Codes

Specialty
Dentist

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