| Ep Poblete Dental Corporation | |
|
1915 W Burbank Blvd Burbank CA 91506-1316 | |
| (818) 395-1026 | |
| Not Available |
| Full Name | Ep Poblete Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 1915 W Burbank Blvd, Burbank, California |
| Authorized Official Name and Position | Editha Pascual Poblete (DENTIST) |
| Authorized Official Contact | 8183951026 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ep Poblete Dental Corporation 1915 W Burbank Blvd Burbank CA 91506-1316 Ph: (818) 395-1026 | Ep Poblete Dental Corporation 1915 W Burbank Blvd Burbank CA 91506-1316 Ph: (818) 395-1026 |
| NPI Number | 1588945307 |
|---|---|
| Provider Enumeration Date | 09/07/2011 |
| Last Update Date | 08/28/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588945307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 47993 (California) | Primary |
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