Organization
LW PEDIATRIC DENTISTRY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DREW POPPER DMD (OWNER)
(203) 415-6875
Entity
Organization
Contact information
Practice address
6910 LAKE WORTH RD, LAKE WORTH, FL 33467-2978
(561) 770-7321
(561) 725-0762
Mailing address
6910 LAKE WORTH RD, LAKE WORTH, FL 33467-2978
(561) 770-7321
(561) 725-0762
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017151100
—
FL
Enumeration date
02/28/2020
Last updated
02/28/2020
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