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Individual

DR. MICHAEL PAUL POPERNACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
7776 SR 655, SUITE C, REEDSVILLE, PA 17084
(717) 667-2358
Mailing address
PO BOX 577, 7776 SR 655 SUITE C, REEDSVILLE, PA 17084-0577
(717) 667-2358

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS-031199L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DS-031199L
DENTAL LICENSE
PA
Enumeration date
10/13/2006
Last updated
04/18/2012
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