Individual
KENNETH J SOAPES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
1526 PRATT ST, PHILADELPHIA, PA 19124-1923
(215) 535-5577
(215) 535-6588
Mailing address
1526 PRATT ST, PHILADELPHIA, PA 19124-1923
(215) 535-5577
(215) 535-6588
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS022465L
PA
Other
Enumeration date
04/02/2008
Last updated
04/02/2008
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