MEDICARE: DR. DORINA POPESCU D.D.S

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	55216	CA

General Provider Information

NPI Number	:	1013041029
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DORINA POPESCU D.D.S

Provider Business Mailing Address
First Line	:	3647 EMPIRE DR APT 102
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90034-5076
Country	:	US
Telephone Number	:	310-287-2489
Fax Number	:

Provider Business Practice Location Address
First Line	:	12932 VICTORY BLVD
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91606-2924
Country	:	US
Telephone Number	:	818-761-9000
Fax Number	:	818-761-6067

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2007
Last Update Date	:	07/08/2007

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