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Individual

DR. JARED MICHAEL POPE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
44480 W HONEYCUTT RD, STE 110, MARICOPA, AZ 85138
(520) 568-9100
(520) 568-9190
Mailing address
44480 W HONEYCUTT RD, STE 110, MARICOPA, AZ 85138
(520) 568-9100
(520) 568-9190

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D5625
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1399646
UNITED CONCORDIA
AZ
01
72-1527580
TAX ID#
AZ
Enumeration date
03/16/2007
Last updated
02/03/2012
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