GLEN D. THOMPSON

PEORIA, IL
NPI1417967936
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019-016572)
Enumeration Date2006-08-08
Last Update Date2007-07-08
Business Address
-- GLEN D. THOMPSON DMD
320 E ARMSTRONG AVE
PEORIA, IL 61603-3172
Phone number: 309-360-0495
Mailing Address
-- GLEN D. THOMPSON DMD
12719 LOCUST RD
TREMONT, IL 61568-9036
Phone number: 309-925-3343