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Individual

DR. TIMOTHY D POPPELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
2750 ENTERPRISE RD, ORANGE CITY, FL 32763-8316
(386) 775-4600
Mailing address
1750 MARKHAM GLEN CIR, LONGWOOD, FL 32779-2797
(407) 829-2047

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN 8724
FL

Other

Enumeration date
03/13/2007
Last updated
07/08/2007
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