Individual
DR. SOPHIA L SCANTLEBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
Contact information
Practice address
10 PLAZA ST E, STE 1H, BROOKLYN, NY 11238-4954
(718) 230-5046
Mailing address
10 PLAZA ST E, STE 1H, BROOKLYN, NY 11238-4954
(718) 230-5046
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
049279
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31355933
—
NY
Enumeration date
08/19/2006
Last updated
07/08/2007
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