Individual
DR. GARY M. POPPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
608 LINCOLN ST, BLUE RAPIDS, KS 66411-1420
(785) 363-7963
(785) 363-7060
Mailing address
608 LINCOLN ST, BLUE RAPIDS, KS 66411-1420
(785) 363-7963
(785) 363-7060
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6968
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6968
LICENSE
KS
Enumeration date
09/29/2006
Last updated
07/08/2007
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