Justin D Poulson, DMD

NPI #1639587348 in Soldotna, Alaska

Provider Information

NPI Number: 1639587348
Entity Type: Individual
Name: Justin D Poulson, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jul 25, 2014
Last Updated: Jul 31, 2014

Practice Location

Address: 47707 JUDY LYNN LANE
City: Soldotna
State: Alaska
ZIP Code: 99669
Phone: (907) 283-9125

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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