Individual
DR. JEREMY LEE POPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4200 BRYANT IRVIN RD STE 101, BENBROOK, TX 76109-4212
(817) 657-3476
Mailing address
5828 ARBORLAWN DR APT 1310, FORT WORTH, TX 76109-3256
(817) 657-3476
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
34527
TX
Other
Enumeration date
09/09/2018
Last updated
09/09/2018
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