Jill Elizabeth Poulos, D.D.S. Valid NPI

Individual provider · General Practice Dentistry · Cambria, CA

NPI

1043429608

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

32667 (CA)

Sex

Female

Sole proprietor

Yes

Enumerated

2007-05-21

Last updated

2007-07-08