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Individual

DANIEL POPPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
245 E 21ST ST, NEW YORK, NY 10010-6410
(212) 392-6520
Mailing address
223 W 14TH ST APT 1B, NEW YORK, NY 10011-7167
(561) 317-9273

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
24365
FL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
062511
NY

Other

Enumeration date
07/11/2019
Last updated
08/02/2023
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