| Soper Enterprises-burien Ii, Pllc | |
|
15105 5th Ave Sw Burien WA 98166-3072 | |
| (206) 210-5622 | |
| (206) 210-5621 |
| Full Name | Soper Enterprises-burien Ii, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 15105 5th Ave Sw, Burien, Washington |
| Authorized Official Name and Position | Barton L Soper (OWNER) |
| Authorized Official Contact | 4257479494 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soper Enterprises-burien Ii, Pllc 15105 5th Ave Sw Burien WA 98166-3072 Ph: (206) 210-5622 | Soper Enterprises-burien Ii, Pllc 15105 5th Ave Sw Burien WA 98166-3072 Ph: (206) 210-5622 |
| NPI Number | 1962197087 |
|---|---|
| Provider Enumeration Date | 04/05/2023 |
| Last Update Date | 04/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962197087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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