Provider Demographics
NPI:1730314402
Name:OSWALD, SOPHIE LE (DDS)
Entity Type:Individual
Prefix:DR
First Name:SOPHIE
Middle Name:LE
Last Name:OSWALD
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 OAK SPRINGS DR
Mailing Address - Street 2:SUITE #102
Mailing Address - City:WARRENTON
Mailing Address - State:VA
Mailing Address - Zip Code:20186-2187
Mailing Address - Country:US
Mailing Address - Phone:571-723-2667
Mailing Address - Fax:
Practice Address - Street 1:225 OAK SPRINGS DR
Practice Address - Street 2:SUITE #102
Practice Address - City:WARRENTON
Practice Address - State:VA
Practice Address - Zip Code:20186-2187
Practice Address - Country:US
Practice Address - Phone:540-347-0274
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-23
Last Update Date:2017-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04380003481223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery