Individual
DR. MELVIN ANTHONY BOULE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3910 TURNER AVE, PLANO, IL 60545-9727
(630) 552-3410
Mailing address
1879 ASTER DR, YORKVILLE, IL 60560-5806
(630) 553-2816
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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