Individual
MAGGIE DELASHMUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
513 N MAIN ST, ANNA, IL 62906-1697
(618) 833-4471
(618) 833-4900
Mailing address
513 N MAIN ST, ANNA, IL 62906-1697
(618) 833-4471
(618) 833-4900
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
020018366
IL
Other
Enumeration date
10/09/2025
Last updated
10/09/2025
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