Ep Poblete Dental Corporation

NPI #1588945307 in Burbank, California

Provider Information

NPI Number: 1588945307
Entity Type: Organization
Organization Name: Ep Poblete Dental Corporation
Primary Specialty: Dentist
Enumeration Date: Sep 7, 2011
Last Updated: Aug 28, 2012

Practice Location

Address: 1915 W BURBANK BLVD
City: Burbank
State: California
ZIP Code: 91506-1316
Phone: (818) 395-1026

Authorized Official

Name: DR. EDITHA PASCUAL POBLETE
Title: DENTIST
Phone: (818) 395-1026

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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