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Robert Poulsom, D.D.S., M.S., J.D
NPI 1689744054 · on the registry since 2006 · sole proprietor
Practice
- Address
- 6800 Main St
Ste 206
Downers Grove, IL 60516 - Phone
- (630) 852-1020
- Fax
- (630) 968-9229
- Organisation at this address
- Taek Y. Kim, M.D., S.C.
Robin B Blakkolb Dds Ltd
Deluxe Home Health Care Llc
Nancy A. Congdon, M.S., P.C.
Grove Dental Associates., P.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 38
Registry record
- Primary taxonomy
- Periodontics
1223P0300X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois