KENNETH POULSEN

BOULDER, CO
NPI1700950391
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CO  6156)
Enumeration Date2006-11-17
Last Update Date2007-07-08
Business Address
-- KENNETH POULSEN DDS
3400 PENROSE PL SUITE 105
BOULDER, CO 80301-1809
Phone number: 303-449-3131
Mailing Address
-- KENNETH POULSEN DDS
3400 PENROSE PL SUITE 105
BOULDER, CO 80301-1809
Phone number: 303-449-3131
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