DR. Kyle Douglass Poulsen, D.D.S.

NPI #1982071379 in Menifee, California

Provider Information

NPI Number: 1982071379
Entity Type: Individual
Name: DR. Kyle Douglass Poulsen, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Sep 1, 2015
Last Updated: Jun 20, 2024

Practice Location

Address: 29121 NEWPORT RD STE 101
City: Menifee
State: California
ZIP Code: 92584-5121
Phone: (951) 228-9296

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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