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Organization

DR EDWIN POULDAR DDS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDWIN JAKOB POULDAR (PRESIDENT)
(310) 780-1187
Entity
Organization

Contact information

Practice address
14912 BURBANK BLVD, SHERMAN OAKS, CA 91411-3609
(818) 909-0222
Mailing address
14912 BURBANK BLVD, SHERMAN OAKS, CA 91411-3609
(818) 909-0222

Taxonomy

Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary

Other

Enumeration date
07/14/2023
Last updated
07/14/2023
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