Individual
DR. EMIL D POPORAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.,M.S.
Contact information
Practice address
4124 FULTON DR NW, SUITE 102, CANTON, OH 44718-2852
(330) 493-4700
(330) 493-8529
Mailing address
4124 FULTON DR NW, SUITE 102, CANTON, OH 44718-2852
(330) 493-4700
(330) 493-8529
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
30-01-4885
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0362183
—
OH
Enumeration date
11/08/2005
Last updated
10/07/2011
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