Individual
MARISOL SOTO JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4731 E UDALL LN, SAN LUIS, AZ 85336
(928) 509-1279
(928) 361-2599
Mailing address
PO BOX 16230, SAN LUIS, AZ 85349-6963
(928) 509-1279
(928) 361-2599
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6458444
ZZ
Other
Enumeration date
02/21/2024
Last updated
03/30/2026
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