Individual
DR. AARON MATTHEW SOEPRONO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
20 E 46TH ST, SUITE 1000, NEW YORK, NY 10017-2417
(212) 813-0850
Mailing address
20 EAST 46TH ST., SUITE 1000, NEW YORK, NY 10017
(212) 813-0850
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
053369
NY
1223G0001X
General Practice Dentistry
48552
CA
Other
Enumeration date
11/01/2006
Last updated
01/27/2012
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