Provider Demographics
NPI:1619016839
Name:DR POPESCU PROFESSIONAL DENTAL CORP
Entity Type:Organization
Organization Name:DR POPESCU PROFESSIONAL DENTAL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANCA
Authorized Official - Middle Name:
Authorized Official - Last Name:POPESCU
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-786-0888
Mailing Address - Street 1:14833 BURBANK BLVD
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91411
Mailing Address - Country:US
Mailing Address - Phone:818-786-0888
Mailing Address - Fax:818-786-0935
Practice Address - Street 1:14833 BURBANK BLVD
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91411
Practice Address - Country:US
Practice Address - Phone:818-786-0888
Practice Address - Fax:818-786-0935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA43487122300000X
CA44061122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty