R S HAUSTEN

WHEATON, IL
NPI1730339003
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019020194)
Additional Taxonomies122300000X Dentist
(Licence: IL  019020194)
Enumeration Date2008-09-24
Last Update Date2008-09-24
Business Address
-- R S HAUSTEN dds
0N712 GARY AVE
WHEATON, IL 60187-3073
Phone number: 630-653-3440
Mailing Address
-- R S HAUSTEN dds
0N712 GARY AVE
WHEATON, IL 60187-3073
Phone number: 630-653-3440