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Organization
TEUSCHER LEGACY DENTAL
Active
Organization
TEUSCHER LEGACY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JOSEPH TEUSCHER (OWNER)
(630) 762-0000
Entity
Organization
Contact information
Practice address
40W131 CAMPTON CROSSINGS DR, ST CHARLES, IL 60175-2910
(630) 762-0000
Mailing address
40W131 CAMPTON CROSSINGS DR, ST CHARLES, IL 60175-2910
(630) 762-0000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164149829
NPI
IL
01
—
1194981092
NPI
IL
01
—
1275157372
NPI
IL
Enumeration date
08/20/2024
Last updated
08/28/2024
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