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Organization
WILLIAM M. SOPER, DDS
Active
Organization
WILLIAM M. SOPER, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE JEAN SOPER (OFFICE MANAGER/OWNER)
(541) 347-4321
Entity
Organization
Contact information
Practice address
1275 OREGON AVE, BANDON, OR 97411
(541) 347-4321
(541) 347-4321
Mailing address
PO BOX 470, BANDON, OR 97411-0470
(541) 347-4321
(541) 347-4321
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
D4777
OR
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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