DR. Brian Poulsen, D.D.S.

NPI #1568861250 in Buena Vista, Virginia

Provider Information

NPI Number: 1568861250
Entity Type: Individual
Name: DR. Brian Poulsen, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Aug 19, 2014
Last Updated: Aug 19, 2014

Practice Location

Address: 2166 MAGNOLIA AVE
City: Buena Vista
State: Virginia
ZIP Code: 24416-3112
Phone: (540) 261-2284

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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