Organization
QUINTESSENTIAL DENTAL
Active
Other names
Happy Tooth
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAGGIE W AUGUSTYN DDS (DENTIST/PRESIDENT)
(630) 834-4140
Entity
Organization
Contact information
Practice address
130 N ADDISON AVE, ELMHURST, IL 60126
(630) 834-4140
Mailing address
130 ADDISON AVE, ELMHURST, IL 60126
(630) 834-4141
(630) 834-4577
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9185625
—
IL
05
—
9815623
—
IL
Enumeration date
04/18/2008
Last updated
04/18/2008
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