Jennifer Soprych, DMD Valid NPI

Individual provider · General Practice Dentistry · O Fallon, MO

NPI

1033696935

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

2018020933 (MO)

Sex

Female

Sole proprietor

No

Enumerated

2018-07-24

Last updated

2018-07-24