Individual
DR. KENNETH MICHAEL SOFRANKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
928 BRODHEAD RD, MOON TOWNSHIP, PA 15108-2375
(412) 264-2405
(412) 264-3810
Mailing address
928 BRODHEAD RD, MOON TOWNSHIP, PA 15108-2375
(412) 264-2405
(412) 264-3810
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS024919L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011753540001
—
PA
Enumeration date
09/27/2006
Last updated
07/08/2007
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