| NPI | 1629457320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OBED SOTO Owner/Dentist 915-779-2621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 30019) |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2018-10-08 |