Amy Johanna Bouvier Poblenz, D.M.D., M.S.

NPI #1447591789 in Atlantic Beach, Florida

Provider Information

NPI Number: 1447591789
Entity Type: Individual
Name: Amy Johanna Bouvier Poblenz, D.M.D., M.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.M.D., M.S.
Enumeration Date: Mar 12, 2013
Last Updated: Feb 6, 2018

Practice Location

Address: 1023 ATLANTIC BLVD
City: Atlantic Beach
State: Florida
ZIP Code: 32233-3313
Phone: (904) 249-3104

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X

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