JUSTIN D POULSON

SOLDOTNA, AK
NPI1639587348
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: AK  1572)
Enumeration Date2014-07-25
Last Update Date2014-07-31
Business Address
-- JUSTIN D POULSON DMD
47707 JUDY LYNN LANE
SOLDOTNA, AK 99669
Phone number: 907-283-9125
Mailing Address
-- JUSTIN D POULSON DMD
47707 JUDY LYNN LANE
SOLDOTNA, AK 99669
Phone number: 907-283-9125