Individual
CARLY JEAN SOPUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
805 NJ-38, CHERRY HILL, NJ 08002
(856) 281-7600
Mailing address
805 NJ-38, CHERRY HILL, NJ 08002
(856) 281-7600
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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