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Search › Virginia › 111N00000X

Mike Poulin, DC

NPI 1750450078 · on the registry since 2006 · sole proprietor

Practice

Address
2465 Centreville Rd Ste J18
Herndon, VA 20171
Phone
(703) 561-0600
Fax
(703) 561-0601
Organisation at this address
Poulin Inc
Kwality Home Care Inc.
Mark S. Jefferies, Dmd, Plc
The Tooth Doc Family Dentistry
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
111N00000X
111N00000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia