| NPI | 1669892840 |
|---|---|
| Doing Business As | POST FALLS PERIODONTICS |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER T POULSEN Periodontist/Owner 319-541-6396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2014-04-25 |