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Individual

MATTHEW AARON POPPER

Active
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Individual

MATTHEW AARON POPPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, MD

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2012024880
MO
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
30.025324
OH
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
2015020404
MO
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
35.133569
OH

Other

Enumeration date
07/19/2012
Last updated
08/22/2018
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