Individual
DR. JAMES JOHN POULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(440) 552-5786
Mailing address
2148 HAVENS CT E, BLACKLICK, OH 43004-9064
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4323
WV
Other
Enumeration date
05/24/2018
Last updated
05/24/2018
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