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1669590659
DANIEL STANFORD POULSON
SALT LAKE CITY, UT
NPI
1669590659
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: UT 136941-9922)
Enumeration Date
2007-03-27
Last Update Date
2007-07-08
Business Address
Dr. DANIEL STANFORD POULSON DDS
2180 E 4500 S STE 270
SALT LAKE CITY, UT 84117-4023
Phone number: 801-278-8481
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Mailing Address
Dr. DANIEL STANFORD POULSON DDS
2180 E 4500 S STE 270
SALT LAKE CITY, UT 84117-4023
Phone number: 801-278-8481
Copy
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