| Fernandez-poblete Dental Corporation | |
|
11631 Victory Blvd Ste 102 North Hollywood CA 91606-3572 | |
| (818) 766-3660 | |
| Not Available |
| Full Name | Fernandez-poblete Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11631 Victory Blvd Ste 102, North Hollywood, California |
| Authorized Official Name and Position | Editha Pascual Poblete (DENTIST) |
| Authorized Official Contact | 8187663660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fernandez-poblete Dental Corporation 11631 Victory Blvd Ste 102 North Hollywood CA 91606-3572 Ph: (818) 766-3660 | Fernandez-poblete Dental Corporation 11631 Victory Blvd Ste 102 North Hollywood CA 91606-3572 Ph: (818) 766-3660 |
| NPI Number | 1598806614 |
|---|---|
| Provider Enumeration Date | 02/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598806614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 47993 (California) | Primary |
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