Organization
STEPHEN T JAGIELO DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN T JAGIELO DDS (PRESIDENT)
(630) 969-4441
Entity
Organization
Contact information
Practice address
4913 MAIN ST, DOWNERS GROVE, IL 60515-3612
(630) 969-4441
(630) 969-4480
Mailing address
4913 MAIN ST, DOWNERS GROVE, IL 60515-3612
(630) 969-4441
(630) 969-4480
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
021-001523
IL
Other
Enumeration date
04/29/2011
Last updated
04/29/2011
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