Charles Robert Bacquet, D.D.S.

NPI #1952521379 in Burbank, California

Provider Information

NPI Number: 1952521379
Entity Type: Individual
Name: Charles Robert Bacquet, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Apr 26, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1305 N SAN FERNANDO BLVD
City: Burbank
State: California
ZIP Code: 91504-4236
Phone: (818) 841-5654

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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