Individual
PABLO E SOTELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
9523 FRANKFORD AVE, PHILADELPHIA, PA 19114-2812
(215) 331-5757
(215) 331-6615
Mailing address
9523 FRANKFORD AVE, PHILADELPHIA, PA 19114-2812
(215) 331-5757
(215) 331-6615
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS-030460L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203029027
TAX IDENTIFICATION NUMBER
PA
Enumeration date
01/09/2006
Last updated
06/11/2008
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