Glenn R Pouleson, DMD

NPI #1679740336 in Downers Grove, Illinois

Provider Information

NPI Number: 1679740336
Entity Type: Individual
Name: Glenn R Pouleson, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Endodontics
Credential: DMD
Enumeration Date: May 13, 2008
Last Updated: May 13, 2008

Practice Location

Address: 6800 MAIN ST
Address 2: APEX ENDODONTICS #205
City: Downers Grove
State: Illinois
ZIP Code: 60516
Phone: (630) 964-4499

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Endodontics — Endodontics	1223E0200X	Primary

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