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1679603773
WENDALL PETER POULSEN
BURTONSVILLE, MD
NPI
1679603773
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: MD 09165)
Enumeration Date
2007-03-07
Last Update Date
2007-07-08
Business Address
Dr. WENDALL PETER POULSEN D.D.S.
4040 BLACKBURN LN SUITE 180
BURTONSVILLE, MD 20866-6136
Phone number: 301-421-9001
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Mailing Address
Dr. WENDALL PETER POULSEN D.D.S.
4040 BLACKBURN LN SUITE 180
BURTONSVILLE, MD 20866-6136
Phone number: 301-421-9001
Copy
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