Most Relevant Information
Provider Data
| NPI Number: | 1003487711 |
| Provider Name: | KASSIE RAE SOPHER DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | DDS-09925 |
Most Important Dates
| Enumeration Date: | 07/03/2021 |
| Last Updated: | 07/03/2021 |
Provider Practice Location
1345 E UNIVERSITY AVE
DES MOINES
IA
503162461
Practice Location Phone/Fax
| Phone: | 5152649022 |
| Fax: |
Provider Mailing Location
1170 TUTTLE ST UNIT 106
DES MOINES
IA
503094314
Provider Mailing Phone/Fax
| Phone: | 5157107983 |
| Fax: |