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Individual
DR. JARED MICHAEL POPE
Active
Individual
DR. JARED MICHAEL POPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D5625
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1399646
UNITED CONCORDIA
AZ
01
—
72-1527580
TAX ID#
AZ
Enumeration date
03/16/2007
Last updated
02/03/2012
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