DR. Gerald Parker Poulsen, D.D.S.

NPI #1164580197 in Taylorsville, Utah

Provider Information

NPI Number
1164580197
Entity Type
Individual
Name
DR. Gerald Parker Poulsen, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Credential
D.D.S.
Enumeration Date
Dec 4, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
3105 W 5400 S
State
Utah
ZIP Code
84118-2200
Phone
(801) 969-6236

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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Organizations

Provider Name
Ut Specialty Dental Services, Pllc

Part of Ut Specialty Dental Services, Pllc

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