Individual
PEDRO M SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDM
Contact information
Practice address
4996 1/2 W ROGERS BLVD, SKIATOOK, OK 74070
(918) 396-4002
(918) 396-4002
Mailing address
PO BOX 724, SKIATOOK, OK 74070-0724
(918) 396-4002
(918) 396-4002
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
1042
OK
Other
Enumeration date
12/19/2007
Last updated
12/19/2007
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