Provider Demographics
NPI:1508048497
Name:SOYFER, VLADIMIR (DMD, PHD, JD)
Entity Type:Individual
Prefix:DR
First Name:VLADIMIR
Middle Name:
Last Name:SOYFER
Suffix:
Gender:M
Credentials:DMD, PHD, JD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3930 PENDER DR
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-0985
Mailing Address - Country:US
Mailing Address - Phone:703-359-9080
Mailing Address - Fax:
Practice Address - Street 1:3930 PENDER DR
Practice Address - Street 2:SUITE 150
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-6028
Practice Address - Country:US
Practice Address - Phone:703-391-9080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-03
Last Update Date:2014-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401410407122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist