| Jacqueline M Hassenplug Dmd, Pc | |
|
100 Illinois St Ste 260 St Charles IL 60174-1867 | |
| (630) 743-9086 | |
| Not Available |
| Full Name | Jacqueline M Hassenplug Dmd, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 100 Illinois St Ste 260, St Charles, Illinois |
| Authorized Official Name and Position | Jacqueline M Hassenplug (PRESIDENT) |
| Authorized Official Contact | 6307439086 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline M Hassenplug Dmd, Pc 338 Clare Dr Bloomingdale IL 60108-8809 Ph: (630) 743-9086 | Jacqueline M Hassenplug Dmd, Pc 100 Illinois St Ste 260 St Charles IL 60174-1867 Ph: (630) 743-9086 |
| NPI Number | 1649014234 |
|---|---|
| Provider Enumeration Date | 06/19/2024 |
| Last Update Date | 06/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649014234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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