JAMES KELLY POULSEN

BOISE, ID
NPI1265535298
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: ID  D-2070-OR)
Enumeration Date2006-09-06
Last Update Date2007-07-08
Business Address
Dr. JAMES KELLY POULSEN DDS MS
1453 W HAYS
BOISE, ID 83702
Phone number: 208-345-6287
Mailing Address
Dr. JAMES KELLY POULSEN DDS MS
1453 W HAYS
BOISE, ID 83702
Phone number: 208-345-6287
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