SearchIllinois1223G0001X

Jiaying Ren, DMD

NPI 1649764176 · on the registry since 2018

Practice

Address
1001 Illini Dr
East Peoria, IL 61611
Phone
(309) 222-8447
Organisation at this address
Maple Shade Dental (East Peoria) Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-06-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois