Individual
MS. MARY BETH SOJKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDA,RDA
Contact information
Practice address
790 RIDGE RD, LACKAWANNA, NY 14218-1629
(716) 828-9334
(716) 828-9355
Mailing address
790 RIDGE RD, LACKAWANNA, NY 14218-1629
(716) 828-9334
(716) 828-9355
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
0000054
NY
Other
Enumeration date
05/15/2008
Last updated
05/15/2008
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