Kenneth Poulsen, DDS

NPI #1700950391 in Boulder, Colorado

Provider Information

NPI Number
1700950391
Entity Type
Individual
Name
Kenneth Poulsen, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Nov 17, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
3400 PENROSE PL
Address 2
SUITE 105
ZIP Code
80301-1809
Phone
(303) 449-3131

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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