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FERNANDEZ-POBLETE DENTAL CORPORATION NPI 1598806614


NPI Information

NPI: 1598806614
Provider Name: FERNANDEZ-POBLETE DENTAL CORPORATION

Doing Business As: VICTORY DENTAL CARE

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
11631 VICTORY BLVD STE 102
NORTH HOLLYWOOD, CA
ZIP 91606
Phone: (818) 766-3660
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FERNANDEZ-POBLETE DENTAL CORPORATION is a general practice dentist in North Hollywood, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. FERNANDEZ-POBLETE DENTAL CORPORATION NPI is 1598806614. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Victory Dental Care.

The provider's business location address is:

11631 VICTORY BLVD STE 102
NORTH HOLLYWOOD, CA
ZIP 91606-572
Phone: (818) 766-3660

The provider's authorized official is Editha Pascual Poblete .
The authorized official title is Dentist and has the following contact phone number (818) 766-3660.

The enumeration date for this NPI number is 2/9/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice47993CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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