Individual
JOHN HENRY POPPENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1575 20TH STREET NORTHWEST, SUITE 102, FARIBAULT, MN 55021-2932
(507) 334-6433
(507) 334-0044
Mailing address
1575 20TH STREET NORTHWEST, SUITE 102, FARIBAULT, MN 55021-2932
(507) 334-6433
(507) 334-0044
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9884
MN
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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