Individual
DR. BRENT POPOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
157 MAIN ST, TONAWANDA, NY 14150-3346
(716) 693-0232
Mailing address
157 MAIN ST, TONAWANDA, NY 14150-3346
(716) 693-0232
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
059066
NY
Other
Enumeration date
05/22/2015
Last updated
09/12/2021
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