Glen D. Thompson, DMD

NPI #1417967936 in Peoria, Illinois

Provider Information

NPI Number
1417967936
Entity Type
Individual
Name
Glen D. Thompson, DMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DMD
Enumeration Date
Aug 8, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
320 E ARMSTRONG AVE
City
Peoria
ZIP Code
61603-3172
Phone
(309) 360-0495

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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