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Organization
DREW POPPER DMD PA
Active
Organization
DREW POPPER DMD PA
Active
Other names
Junior Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DREW POPPER DMD (OWNER)
(561) 210-7788
Entity
Organization
Contact information
Practice address
9970 CENTRAL PARK BLVD N STE 305, BOCA RATON, FL 33428-2237
(561) 210-7788
(561) 510-2603
Mailing address
9970 CENTRAL PARK BLVD N STE 305, BOCA RATON, FL 33428-2237
(561) 210-7788
(561) 510-2603
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN21755
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106205400
—
FL
Enumeration date
02/21/2017
Last updated
03/15/2022
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