Menifee Lakes Dental Group Dental Clinic

Get detailed information about Menifee Lakes Dental Group dental clinic in Irvine California.
Menifee Lakes Dental Group (POULSEN DENTAL CORPORATION) is a Dental Clinic in Menifee, California. Dental care clinics provide dental treatment and oral care to patients of all ages. The NPI Number for Menifee Lakes Dental Group is 1558884239.

The current location address for Menifee Lakes Dental Group is 29121 Newport Road, Ste 1, , Menifee, California and the contact number is 951-228-9296 and fax number is 951-905-1264. The mailing address for Menifee Lakes Dental Group is 17000 Red Hill Ave, , Irvine, California - 92614-5626 (mailing address contact number - 714-845-8500).


Provider Profile Details:
Clinic NameMenifee Lakes Dental Group
Provider OrganizationPOULSEN DENTAL CORPORATION
Address29121 Newport Road, Ste 1, ,
Menifee
California, 92584
Phone Number951-228-9296
Fax Number951-905-1264
Authorized Official NamePoulsen D Kyle
Authorized Official Title/PositionOwner
Authorized Official Contact Number951-228-9296
NPI Number Details:
NPI Number1558884239
Provider Enumeration Date07/25/2017
Last Update Date01/02/2021
Provider Business Mailing Address Details:
Address17000 Red Hill Ave,
CityIrvine
StateCalifornia
Zip92614-5626
Phone Number714-845-8500
Fax Number949-474-1495
Provider's Primary Taxonomy Details:
TypeDental Providers
SpecialityDentist
Taxonomy122300000X

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