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Robert C. Poulsom, D.d.s., M.s. Ltd
Periodontist in Park Ridge, Illinois
NPI 1275855306

Robert C. Poulsom, D.d.s., M.s. Ltd is a Periodontist based in Park Ridge, IL and is specialized in Periodontics. Robert C. Poulsom, D.d.s., M.s. Ltd practices in Park Ridge, IL. The NPI Number for Robert C. Poulsom, D.d.s., M.s. Ltd is 1275855306 and holds a License No. 21.000877 (Illinois).

The current practice location address for Robert C. Poulsom, D.d.s., M.s. Ltd is 350 South Nw Highway, Park Ridge, IL and can be reached out via phone at 630-852-1020 and via fax at 630-968-9229.

Location: 350 South Nw Highway, Park Ridge, IL, 60068
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275855306
Provider Name
Robert C. Poulsom, D.d.s., M.s. Ltd
Credential
Provider Entity Type
Organization
Address
350 South Nw Highway, Park Ridge, IL, 60068
Phone Number
630-852-1020
Fax Number
630-968-9229
Provider Enumeration Date
02/16/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
350 South Nw Highway
City
Park Ridge
State
Illinois
Zip
60068
Phone Number
630-852-1020
Fax Number
630-968-9229
person
Provider Business Mailing Address Details
Address
350 South Nw Highway
City
Park Ridge
State
Illinois
Zip
60068
Phone Number
630-852-1020
Fax Number
630-968-9229
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
21.000877 (Illinois)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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