Organization
IMELDA D SOTO DDS INC
Active
Other names
Dr Soto The Downey Dentist
Organization subpart
No
Provider details
NPI number
Authorized official
IMELDA SOTO DDS (PRESIDENT)
(626) 419-7917
Entity
Organization
Contact information
Practice address
8018 STEWART AND GRAY RD, DOWNEY, CA 90241-5122
(562) 923-7799
Mailing address
8018 STEWART AND GRAY RD, DOWNEY, CA 90241-5122
(562) 923-7799
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093991713
NPI ENUMERATOR
ND
01
—
1093991713
CMS
—
Enumeration date
03/18/2019
Last updated
03/18/2019
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