GERALD PARKER POULSEN

TAYLORSVILLE, UT
NPI1164580197
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223X0400X Dentist Orthodontics and Dentofacial Orthopedics
(Licence: UT  131024-9921)
Enumeration Date2006-12-04
Last Update Date2007-07-08
Business Address
DR. GERALD PARKER POULSEN D.D.S.
3105 W 5400 S
TAYLORSVILLE, UT 84118-2200
Phone number: 801-969-6236
Mailing Address
DR. GERALD PARKER POULSEN D.D.S.
3105 W 5400 S
TAYLORSVILLE, UT 84118-2200
Phone number: 801-969-6236
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