Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE SEPULVEDA, 68EN5
ActiveDental Laboratory Technician · FORT IRWIN, CA
Registration Details
- NPI Number
- 1881106193
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 26, 2017 (8.5110300656725 yrs)
- Last Updated
- Oct 31, 2017
Practice Information
- Address
-
BLDG 1714TH & INNER LOOP ROADFORT IRWIN, CA, 92310Browse CA providers · Browse ZIP 92310
- Phone
- 7195265537
- Primary Specialty
-
Dental Laboratory Technician
126900000X
- Additional Specialty
- Dental Laboratory Technician
Other Dental Laboratory Technician Providers in FORT IRWIN, CA
| Name | Credential | NPI |
|---|---|---|
| JONATHAN RIVERA | N5 | 1700398021 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.