Individual
DR. JEFFERY K POULSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
16900 E QUINCY AVE, UNIT B, AURORA, CO 80015-3299
(303) 617-4488
Mailing address
5678 S JERICHO WAY, CENTENNIAL, CO 80015-3652
(303) 627-6244
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
201810
CO
Other
Enumeration date
07/26/2012
Last updated
07/26/2012
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