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Individual

PAIYAL POPAT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD, MS

Contact information

Practice address
6611 BUCKINGHAM PALMS WAY, TAMPA, FL 33647-5129
(407) 758-5424
Mailing address
6611 BUCKINGHAM PALMS WAY, TAMPA, FL 33647-5129

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN21358
FL

Other

Enumeration date
06/13/2017
Last updated
06/13/2017
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