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Organization
SBO DENTAL PROFESSIONAL CORP
Active
Organization
SBO DENTAL PROFESSIONAL CORP
Active
Other names
Devine Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOFIA BARROSO DMD (GENERAL DENTIST)
(305) 877-3816
Entity
Organization
Contact information
Practice address
1288 VALLEY FORGE RD STE 52, PHOENIXVILLE, PA 19460-2687
(484) 920-3687
Mailing address
1288 VALLEY FORGE RD STE 52, PHOENIXVILLE, PA 19460-2687
(484) 920-3687
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/03/2020
Last updated
04/03/2020
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