Individual
KATHLEEN CAROL SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10921 WILSHIRE BLVD STE 912, LOS ANGELES, CA 90024-3906
(805) 300-8773
Mailing address
18645 HATTERAS ST UNIT 269, TARZANA, CA 91356-1875
(805) 300-8773
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
24289
CA
Other
Enumeration date
11/06/2020
Last updated
12/10/2020
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