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Organization
EP POBLETE DENTAL CORPORATION
Active
Organization
EP POBLETE DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDITHA PASCUAL POBLETE (DENTIST)
(818) 395-1026
Entity
Organization
Contact information
Practice address
1915 W BURBANK BLVD, BURBANK, CA 91506-1316
(818) 395-1026
Mailing address
1915 W BURBANK BLVD, BURBANK, CA 91506-1316
(818) 395-1026
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
47993
CA
Other
Enumeration date
09/07/2011
Last updated
08/28/2012
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