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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