|Active||Over 8 years ago|
|22 LAUREL AVE
NORTHPORT NY, 11768-3165, US
|6 DITMAR LN
EAST NORTHPORT NY, 11731-5220, US
|Remove 1619138229 NPI Number|
According to our database, Dr. Jaime M Poulos D.D.S. NPI is 1619138229, taxonomy code is 1223G0001X and license number is 019026797, license state is located at Illinois. Jaime M Poulos D.D.S. physically located at 22 Laurel Ave, Northport NY, 11768-3165. NPI Number Jaime M Poulos D.D.S. has the Individual type.
1619138229 NPI number is provided on an as is basis without warranty of any kind. 1619138229 is maintained by the National Plan & Provider Enumeration System. The contents of Jaime M Poulos D.D.S. are for informational purposes only.