Individual
DR. KENNETH WILLIAM BUELTMANN I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1775 GLENVIEW RD, SUITE #212, GLENVIEW, IL 60025-2956
(847) 724-6343
Mailing address
1775 GLENVIEW RD, SUITE #212, GLENVIEW, IL 60025-2956
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
21-S753
IL
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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