# SOTOGENIC SMILES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508533522
- **Authorized official:** JOSE A SOTO-MENDEZ DDS (OWNER)
- **Authorized official phone:** (305) 323-9036

## Contact information

- **Practice address:** 1715 EXPRESSWAY 83 STE A4, PENITAS, TX 78576-8334
- **Practice address phone:** (956) 583-1011
- **Mailing address:** 1204 E CAMELLIA AVE UNIT 2, MCALLEN, TX 78501-2779
- **Mailing address phone:** (305) 323-9036
- **Mailing address fax:** (956) 800-4464

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/26/2021
- **Last updated:** 08/26/2021