Organization
MA BOULE DMD PC
Active
Other names
Boule Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELVIN ANTHONY BOULE DMD (OWNER)
(630) 552-3410
Entity
Organization
Contact information
Practice address
3910 TURNER AVE, PLANO, IL 60545-9727
(630) 552-3410
(630) 552-1543
Mailing address
3910 TURNER AVE, PLANO, IL 60545-9727
(630) 552-3410
(630) 552-1543
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019026313
IL
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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