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Individual

DR. THEODORE RICHARD POPE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
16 W WENGER RD, ENGLEWOOD, OH 45322-2724
(937) 832-2087
(937) 836-7901
Mailing address
573 W DAVID PKWY, KETTERING, OH 45429-1977
(937) 294-5205
(937) 836-7901

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30014318
OH

Other

Enumeration date
08/20/2006
Last updated
07/08/2007
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