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Organization
QUINTESSENTIAL DENTAL
Active
Organization
QUINTESSENTIAL DENTAL
Active
Other names
Happy Tooth
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAGGIE W AUGUSTYN DDS (PRESIDENT/DENTIST)
(630) 834-4140
Entity
Organization
Contact information
Practice address
132 N ADDISON AVE, ELMHURST, IL 60126-2864
(630) 834-4140
(630) 834-4577
Mailing address
132 N ADDISON AVE, ELMHURST, IL 60126-2864
(630) 834-4140
(630) 834-4577
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019025217
IL
1223G0001X
General Practice Dentistry
Primary
019026397
IL
Other
Enumeration date
06/30/2008
Last updated
06/30/2008
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