Individual
ELIZABETH SOPKOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1028 KINLEY RD, IRMO, SC 29063-9632
(803) 781-0880
Mailing address
111 BRICKWORKS DR APT 1213, CAYCE, SC 29033-4432
(419) 705-8118
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DGD.10901
SC
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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