Robert Bartholomew Poulard
Robert Bartholomew Poulard is a Dental Assistant in Fort Leonard Wood, Missouri. Practices as a sole proprietor. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
4566 Oklahoma Ave Bldg 2100Fort Leonard Wood, MO 65473-1638
Phone: (573) 596-2903
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Assistant (primary) | Taxonomy 126800000X |
|---|
Record details
| NPI number | 1942652086 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 12, 2016 |
| Last updated in NPPES | July 12, 2016 |
| Mailing address | 4566 Oklahoma Ave, Bldg 2100, Fort Leonard Wood, MO 65473-1638 |
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