| Ma Boule Dmd Pc | |
|
3910 Turner Ave Plano IL 60545-9727 | |
| (630) 552-3410 | |
| (630) 552-1543 |
| Full Name | Ma Boule Dmd Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3910 Turner Ave, Plano, Illinois |
| Authorized Official Name and Position | Melvin Anthony Boule (OWNER) |
| Authorized Official Contact | 6305523410 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ma Boule Dmd Pc 3910 Turner Ave Plano IL 60545-9727 Ph: (630) 552-3410 | Ma Boule Dmd Pc 3910 Turner Ave Plano IL 60545-9727 Ph: (630) 552-3410 |
| NPI Number | 1700043064 |
|---|---|
| Provider Enumeration Date | 05/22/2008 |
| Last Update Date | 05/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700043064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019026313 (Illinois) | Primary |
Plano Smiles Dental Center, Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9 E Main St, Plano, IL 60545 Phone: 630-552-8900 Fax: 630-552-0889 | |
Plano Family Dental,pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 W Us Highway 34, Suite 103, Plano, IL 60545 Phone: 630-552-9200 |