Individual
DEANNA M SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
171 4TH AND INNER LOOP RD, FORT IRWIN, CA 92310
(719) 526-5537
Mailing address
171 4TH AND INNER LOOP RD, FORT IRWIN, CA 92310
(719) 526-5537
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDH 24536
CA
Other
Enumeration date
09/18/2013
Last updated
09/18/2013
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