Organization · Type 2 NPI
Robert C. Poulsom, D.d.s., M.s. Ltd
Periodontics · Park Ridge, IL
NPI number
1275855306
Active
Practice location
350 South NW Highway, Ste 120
Park Ridge, IL 60068
Fax (630) 968-9229
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 21.000877 (IL) |
Periodontics: 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.
Other periodontics providers in Park Ridge
About NPI 1275855306
Robert C. Poulsom, D.d.s., M.s. Ltd's National Provider Identifier is 1275855306, issued on Feb 16, 2010. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Park Ridge, IL. The record was last updated on Feb 16, 2010.