Christopher T. Poulsen, Dds, Pllc

NPI #1669892840 in Post Falls, Idaho

Provider Information

NPI Number: 1669892840
Entity Type: Organization
Organization Name: Christopher T. Poulsen, Dds, Pllc
Primary Specialty: Dentist - Periodontics
Enumeration Date: Apr 25, 2014
Last Updated: Apr 25, 2014

Practice Location

Address: 602 N CALGARY CT
Address 2: SUITE #102
City: Post Falls
State: Idaho
ZIP Code: 83854-4000
Phone: (208) 777-1796

Authorized Official

Name: DR. CHRISTOPHER T POULSEN, D.D.S., M.S.
Title: PERIODONTIST/OWNER
Phone: (319) 541-6396

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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