Provider Demographics
NPI:1811198088
Name:ROBERTS, EUGENIA POPESCU (DDS)
Entity Type:Individual
Prefix:DR
First Name:EUGENIA
Middle Name:POPESCU
Last Name:ROBERTS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5855 WEST UTOPIA RD
Mailing Address - Street 2:MIDWESTERN UNIVERSITY COLLEGE OF DENTAL MEDICINE
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308
Mailing Address - Country:US
Mailing Address - Phone:623-806-7011
Mailing Address - Fax:623-806-7010
Practice Address - Street 1:5855 WEST UTOPIA RD
Practice Address - Street 2:MIDWESTERN UNIVERSITY COLLEGE OF DENTAL MEDICINE
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308
Practice Address - Country:US
Practice Address - Phone:623-806-7011
Practice Address - Fax:623-806-7010
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2016-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH164801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice