Dr. Edward J. Brennan, Jr. D.d.s. & Dr. Mark J. Peloquin, D.d.s. PC

NPI #1891910303 in Homer Glen, Illinois

Provider Information

NPI Number: 1891910303
Entity Type: Organization
Organization Name: Dr. Edward J. Brennan, Jr. D.d.s. & Dr. Mark J. Peloquin, D.d.s. PC
Primary Specialty: Dentist
Enumeration Date: Apr 17, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 15915 S CRYSTAL CREEK DR
Address 2: SUITE B
City: Homer Glen
State: Illinois
ZIP Code: 60491-9284
Phone: (708) 301-8660

Authorized Official

Name: DR. MARK J. PELOQUIN, D.D.S.
Title: VICE PRESIDENT
Phone: (708) 301-8660

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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