| NPI | 1679190250 |
|---|---|
| Other Name | NATHANIEL SOTO-ROSADO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN25742) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN25742) |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2024-02-06 |