Individual
DR. MATTHEW T POPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236-5638
(102) 922-7582
Mailing address
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236-5638
(210) 292-2758
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
28078
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
7247
LA
Other
Enumeration date
08/28/2012
Last updated
07/14/2021
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