Individual
SODARETH JOHN SOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
24012 AVENIDA DE LA CARLOTA, LAGUNA HILLS, CA 92653-3100
(949) 455-1400
Mailing address
17 EL CENCERRO, RANCHO SANTA MARGARITA, CA 92688-3303
(949) 338-6845
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
23471
CA
Other
Enumeration date
06/29/2020
Last updated
06/29/2020
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