Individual
DR. JOHN POULTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1383 S 900 W STE 128, SALT LAKE CITY, UT 84104-1652
(801) 972-2747
Mailing address
1383 S 900 W STE 128, SALT LAKE CITY, UT 84104-1652
(801) 972-2747
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3082639-9921
UT
Other
Enumeration date
03/24/2011
Last updated
03/24/2011
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