Derek P Grzanich, DDS Valid NPI
Individual provider · Endodontics · Peoria, IL
- NPI
- 1487736112
- Type
- Individual (Type 1)
- Primary specialty
- Endodontics (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223E0200X
- License number
- 29339 (TX)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-10-20
- Last updated
- 2025-09-12
Practice location
9016 N Allen Rd, Suite B
Peoria, IL 61615-1513
(309) 690-4500