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Organization
DENTAL CORPORATION OF KYLE POULSEN
Active
Organization
DENTAL CORPORATION OF KYLE POULSEN
Active
Other names
DENTAL OFFICE OF WINCHESTER
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN POULSON DDS (OWNER)
(951) 335-5169
Entity
Organization
Contact information
Practice address
32897 WESTERN HILLS DR, SUITE 103, WINCHESTER, CA 92596
(951) 335-5169
(951) 213-4675
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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