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Organization

ROBERT P. SOPKO, DDS, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT P SOPKO (OWNER)
(919) 819-9289
Entity
Organization

Contact information

Practice address
3708 FORESTVIEW RD, STE 201, RALEIGH, NC 27612-8042
(919) 819-9289
(919) 747-4334
Mailing address
3708 FORESTVIEW RD, STE 201, RALEIGH, NC 27612-8042
(919) 819-9289
(919) 747-4334

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
6548
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1223E0200X
ENDO
NC
Enumeration date
08/28/2014
Last updated
12/14/2016
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