Individual
DR. SOFIA IRIBARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8200 DODGE ST, OMAHA, NE 68114-4113
(402) 836-9785
(402) 552-7765
Mailing address
8200 DODGE ST, OMAHA, NE 68114-4113
(515) 267-0737
(402) 836-9785
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DDS-09997
IA
1223G0001X
General Practice Dentistry
8047
NE
1223G0001X
General Practice Dentistry
DDS-09997
IA
1223P0221X
Pediatric Dentistry
Primary
8047
NE
1223P0221X
Pediatric Dentistry
DDS-09997
IA
Other
Enumeration date
06/24/2019
Last updated
10/31/2024
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