Organization
POPOVICH DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES GABRIEL POPOVICH D.D.S. (CEO)
(219) 663-0252
Entity
Organization
Contact information
Practice address
223 S COURT ST, CROWN POINT, IN 46307-3951
(219) 663-0252
(219) 663-3249
Mailing address
223 S COURT ST, CROWN POINT, IN 46307-3951
(219) 663-0252
(219) 663-3249
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12006634
IN
122300000X
Dentist
Primary
12010460A
IN
Other
Enumeration date
08/15/2011
Last updated
08/15/2011
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