Organization
ROBERT L SOPER DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON LYNNE THOMAS (PRACTICE ADMINISTRATOR)
(978) 658-5656
Entity
Organization
Contact information
Practice address
25 LOWELL ST, WILMINGTON, MA 01887-3238
(978) 658-5656
Mailing address
25 LOWELL ST, PO BOX 499, WILMINGTON, MA 01887-3238
(978) 658-5656
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11432
MA
Other
Enumeration date
11/22/2011
Last updated
11/22/2011
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