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NPI Profile for GLENN R POULESON in DOWNERS GROVE, IL.
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Endodontics |
1223E0200X |
| NPI # | 1679740336 |
|
| Status | Active | |
| Credentials | DMD (Doctor of Medical Dentistry) | |
| Entity | Individual | |
| Enumeration date | 05/13/2008 | |
| Last updated | 05/13/2008 - About 18 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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GLENN R POULESON
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GLENN R POULESON, DMD