Individual
CYNTHIA J. POPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
212 E MAIN ST, TAVARES, FL 32778-3808
(407) 905-8827
(352) 742-3264
Mailing address
110 S WOODLAND ST, WINTER GARDEN, FL 34787-3546
(407) 905-8827
(352) 742-3264
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN13779
FL
1223G0001X
General Practice Dentistry
30-01-8541
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001848700
—
FL
05
—
0788045
—
OH
Enumeration date
05/11/2006
Last updated
10/05/2015
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