| Robert C Poulsom Dds Ms Ltd | |
|
6800 S Main St Suite 206 Downers Grove IL 60516 | |
| (630) 852-1020 | |
| (630) 968-9229 |
| Full Name | Robert C Poulsom Dds Ms Ltd |
|---|---|
| Speciality | Dentist |
| Location | 6800 S Main St, Downers Grove, Illinois |
| Authorized Official Name and Position | Robert Colin Poulsom (PRESIDENT) |
| Authorized Official Contact | 6308521020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert C Poulsom Dds Ms Ltd 6800 S Main St Suite 206 Downers Grove IL 60516 Ph: (630) 852-1020 | Robert C Poulsom Dds Ms Ltd 6800 S Main St Suite 206 Downers Grove IL 60516 Ph: (630) 852-1020 |
| NPI Number | 1669580718 |
|---|---|
| Provider Enumeration Date | 08/28/2006 |
| Last Update Date | 02/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669580718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019014659 (Illinois) | Primary |
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