| NPI | 1821429820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN E SOTO General Dentist 210-787-2062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2014-03-13 |