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Individual

DR. IAN JOSE SOTO DIEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
50 AVE LUIS MUNOZ MARIN STE 302, CAGUAS, PR 00725-3981
(787) 361-7775
Mailing address
50 AVE LUIS MUNOZ MARIN STE 302, CAGUAS, PR 00725-3981
(787) 361-7775

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3535
PR
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/16/2024
Last updated
09/22/2024
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