| NPI | 1538753835 |
|---|---|
| Other Name | SOPHIE JO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NJ 22DI02881100) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 062905) |
| 122300000X Dentist (Licence: FL DN26633) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-02-26 |
| Last Update Date | 2023-02-15 |