Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Poulsen Dental Corporation

Organization Dentist · NPI 1558884239

Poulsen Dental Corporation provides Dentist services in Menifee, California. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

29121 Newport Rd Ste 1
Menifee, CA 92584
Phone: (951) 228-9296
Fax: (951) 905-1264
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1558884239
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Poulsen Kyle — Owner · (951) 228-9296
Other names Menifee Lakes Dental Group; Menifee Lakes Dental Group
NPI enumeratedJuly 25, 2017
Last updated in NPPESMarch 8, 2022
Certification dateMarch 8, 2022
Mailing addressPo Box 920050, Dallas, TX 75392-0050

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