Organization
JOSEPH M. POPE D.D.S.,LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH MICHAEL POPE D.D.S. (PRESIDENT)
(309) 662-3307
Entity
Organization
Contact information
Practice address
105 N REGENCY DR, BLOOMINGTON, IL 61701-3515
(309) 662-3307
Mailing address
105 N REGENCY DR, BLOOMINGTON, IL 61701-3515
(309) 662-3307
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
07/23/2007
Last updated
07/23/2007
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