| NPI | 1861885311 |
|---|---|
| Former Name | JOSE ALFREDO SOTO-RODRIGUEZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA DDS104515) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AZ D009444) |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2019-11-15 |