Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | DL11166 | MA |
NPI | 1356646863 |
---|---|
Provider Name | Dr. Narcis Sebastian Popita |
First Address | Wellfleet, MA 02667 |
Second Address | Provincetown, MA 02657-1618 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/01/2011 |
Last Update Date | 12/12/2012 |