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Individual

KASSIE RAE SOPHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
1345 E UNIVERSITY AVE, DES MOINES, IA 50316-2461
(515) 264-9022
Mailing address
1170 TUTTLE ST UNIT 106, DES MOINES, IA 50309-4314
(515) 710-7983

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DDS-09925
IA

Other

Enumeration date
07/03/2021
Last updated
07/03/2021
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