Organization
MARITES L. SOTTO, DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARITES LAGAZON SOTTO DDS (OWNER/DENTIST)
(619) 210-9677
Entity
Organization
Contact information
Practice address
890 EASTLAKE PKWY STE 307, CHULA VISTA, CA 91914-4522
(619) 421-4521
(619) 421-4529
Mailing address
890 EASTLAKE PKWY STE 307, CHULA VISTA, CA 91914-4522
(619) 421-4521
(619) 421-4529
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
58124
CA
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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