Whalio Doctors

NPI 1881106193

Nicole Sepulveda, EN

Practitioner Dental Laboratory Technician Fort Irwin, CA

Practice location

Address
Bldg 171 4th & Inner Loop Road, Fort Irwin, CA 92310
Phone
(719) 526-5537

Registered specialties (2)

Dental Laboratory Technician Primary
Dental Providers Taxonomy 126900000X
Dental Assistant
Dental Providers Taxonomy 126800000X

Registry record

NPI
1881106193
Entity type
Individual
Sex (as registered)
Female
NPI issued
26 Oct 2017
Record last updated
31 Oct 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.