DR. Wendall Peter Poulsen, D.D.S.

NPI #1679603773 in Burtonsville, Maryland

Provider Information

NPI Number: 1679603773
Entity Type: Individual
Name: DR. Wendall Peter Poulsen, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Mar 7, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 4040 BLACKBURN LN
Address 2: SUITE 180
City: Burtonsville
State: Maryland
ZIP Code: 20866-6136
Phone: (301) 421-9001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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