Individual
DR. SOPHIA OLIVIA CACIOPPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
309 GRETNA BLVD, GRETNA, LA 70053-4973
(504) 366-5611
Mailing address
2568 KISMET ST, MARRERO, LA 70072-5453
(504) 228-3601
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7523
LA
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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