Individual
DR. ANDREW DALE POULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
10555 BLOOMINGDALE RIDGE DR, RIVERVIEW, FL 33578-4455
(813) 252-2273
(813) 904-5182
Mailing address
10555 BLOOMINGDALE RIDGE DR, RIVERVIEW, FL 33578-4455
(813) 252-2273
(813) 904-5182
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN23720
FL
122300000X
Dentist
DS039906
PA
Other
Enumeration date
05/28/2014
Last updated
05/21/2024
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