Provider Demographics
NPI:1992992523
Name:SOFER, JOSE (DDS)
Entity type:Individual
Prefix:DR
First Name:JOSE
Middle Name:
Last Name:SOFER
Suffix:
Gender:M
Credentials:DDS
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Other - Credentials:
Mailing Address - Street 1:CALLE ANASTACIO RUIZ CONDOMINIO ALFIL
Mailing Address - Street 2:PLANTA BAJA
Mailing Address - City:PANAMA CITY
Mailing Address - State:REPUBLIC OF PANAMA
Mailing Address - Zip Code:08160-0041
Mailing Address - Country:PA
Mailing Address - Phone:507-269-3936
Mailing Address - Fax:507-263-5457
Practice Address - Street 1:CALLE ANASTACIO RUIZ CONDOMINIO ALFIL
Practice Address - Street 2:PLANTA BAJA
Practice Address - City:PANAMA CITY
Practice Address - State:REPUBLIC OF PANAMA
Practice Address - Zip Code:08160-0041
Practice Address - Country:PA
Practice Address - Phone:507-269-3936
Practice Address - Fax:507-263-5457
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-27
Last Update Date:2007-09-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLDN126131223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics