DR. Keith J Poulsen, D.D.S
NPI #1407970916 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1407970916
- Entity Type
- Individual
- Name
- DR. Keith J Poulsen, D.D.S
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Pediatric Dentistry
- Credential
- D.D.S
- Enumeration Date
- Mar 19, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 7138 HIGHLAND DR
- Address 2
- SUITE 216
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84121-3757
- Phone
- (801) 944-0668
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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