Marites L. Sotto, Dds, Inc. | |
890 Eastlake Pkwy Ste 307 Chula Vista CA 91914-4522 | |
(619) 421-4521 | |
(619) 421-4529 |
Full Name | Marites L. Sotto, Dds, Inc. |
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Speciality | Clinic/center - Dental |
Location | 890 Eastlake Pkwy Ste 307, Chula Vista, California |
Authorized Official Name and Position | Marites Lagazon Sotto (OWNER/DENTIST) |
Authorized Official Contact | 6192109677 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Marites L. Sotto, Dds, Inc. 890 Eastlake Pkwy Ste 307 Chula Vista CA 91914-4522 Ph: (619) 421-4521 | Marites L. Sotto, Dds, Inc. 890 Eastlake Pkwy Ste 307 Chula Vista CA 91914-4522 Ph: (619) 421-4521 |
NPI Number | 1790263689 |
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Provider Enumeration Date | 08/01/2018 |
Last Update Date | 08/01/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790263689 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 58124 (California) | Primary |
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