John C Popenoe, DDS Valid NPI
Individual provider · General Practice Dentistry · Marysville, WA
- NPI
- 1679564876
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- DE00009972 (WA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2005-11-04
- Last updated
- 2010-12-02
Practice location
3943 116th St Ne Ste 103
Marysville, WA 98271-8448
(360) 651-9580