Organization
SBO DENTAL PROFESSIONAL CORP
Active
Other names
Devine Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOFIA BARROSO DMD (GENERAL DENTIST)
(305) 877-3816
Entity
Organization
Contact information
Practice address
1288 VALLEY FORGE RD STE 52, PHOENIXVILLE, PA 19460-2687
(484) 920-3687
Mailing address
1288 VALLEY FORGE RD STE 52, PHOENIXVILLE, PA 19460-2687
(484) 920-3687
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/03/2020
Last updated
04/03/2020
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