Poulsen Dental Corporation

NPI #1558884239 in Menifee, California

Provider Information

NPI Number: 1558884239
Entity Type: Organization
Organization Name: Poulsen Dental Corporation
Primary Specialty: Dentist
Enumeration Date: Jul 25, 2017
Last Updated: Mar 8, 2022

Practice Location

Address: 29121 NEWPORT ROAD, STE 1
City: Menifee
State: California
ZIP Code: 92584
Phone: (951) 228-9296

Authorized Official

Name: POULSEN D KYLE, DDS
Title: OWNER
Phone: (951) 228-9296

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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