Individual
DR. JENNIFER SOPRYCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3009 HIGHWAY K, O FALLON, MO 63368-8696
(636) 379-7552
Mailing address
3009 HIGHWAY K, O FALLON, MO 63368-8696
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2018020933
MO
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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