Individual
DR. DANIEL STANFORD POULSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2180 E 4500 S STE 270, SALT LAKE CITY, UT 84117-4023
(801) 278-8481
(801) 278-3357
Mailing address
2180 E 4500 S STE 270, SALT LAKE CITY, UT 84117-4023
(801) 278-8481
(801) 278-3357
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
136941-9922
UT
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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