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Organization
CHRISTOPHER T. POULSEN, DDS, PLLC
Active
Organization
CHRISTOPHER T. POULSEN, DDS, PLLC
Active
Other names
Post Falls Periodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER T POULSEN D.D.S., M.S. (PERIODONTIST/OWNER)
(319) 541-6396
Entity
Organization
Contact information
Practice address
602 N CALGARY CT, SUITE #102, POST FALLS, ID 83854-4000
(208) 777-1796
Mailing address
602 N CALGARY CT, SUITE #102, POST FALLS, ID 83854-4000
(208) 777-1796
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
04/25/2014
Last updated
04/25/2014
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