Organization
AGNIESZKA IWASZCZYSZYN DMD PC
Active
Other names
Hart Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AGNIESZKA IWASZCZYSZYN DMD (PRESIDENT)
(708) 291-0354
Entity
Organization
Contact information
Practice address
728 W NORTHWEST HWY, BARRINGTON, IL 60010-2640
(847) 865-4278
Mailing address
491 LESLIE CT APT 201, DES PLAINES, IL 60016-8817
(708) 291-0354
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019030692
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821441312
—
IL
Enumeration date
08/09/2018
Last updated
08/09/2018
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