William Bruce Poulsen, D.D.S. Valid NPI

Individual provider · Endodontics · Evansville, IN

NPI

1124233101

Type

Individual (Type 1)

Primary specialty

Endodontics (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223E0200X

License number

12010129A (IN)

Sex

Male

Sole proprietor

No

Enumerated

2007-05-11

Last updated

2007-07-08