Individual
DR. MAYA POPOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-1336
(570) 271-6355
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS040945
PA
1223G0001X
General Practice Dentistry
Primary
DS040945
PA
Other
Enumeration date
05/26/2015
Last updated
08/31/2020
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