ANDREW DALE POULSON

RIVERVIEW, FL
NPI1235541004
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: FL  DN23720)
Additional Taxonomies122300000X Dentist
(Licence: PA  DS039906)
Enumeration Date2014-05-28
Last Update Date2024-05-21
Business Address
Dr. ANDREW DALE POULSON D.M.D.
10555 BLOOMINGDALE RIDGE DR
RIVERVIEW, FL 33578-4455
Phone number: 813-252-2273
Mailing Address
Dr. ANDREW DALE POULSON D.M.D.
10555 BLOOMINGDALE RIDGE DR
RIVERVIEW, FL 33578-4455
Phone number: 813-252-2273
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