Provider Demographics
NPI:1356301642
Name:GOGLIN, AUREL EUGENE JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:AUREL
Middle Name:EUGENE
Last Name:GOGLIN
Suffix:JR
Gender:M
Credentials:DDS
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Mailing Address - Street 1:1635 N ARLINGTON HEIGHTS RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-3944
Mailing Address - Country:US
Mailing Address - Phone:847-398-2191
Mailing Address - Fax:847-870-1486
Practice Address - Street 1:1635 N ARLINGTON HEIGHTS RD
Practice Address - Street 2:SUITE 101
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-3944
Practice Address - Country:US
Practice Address - Phone:847-398-2191
Practice Address - Fax:847-870-1486
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-23
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL19-0140501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice