Rita C. Soto Dds, Inc. | |
78900 Ave 47 Suite 110 La Quinta CA 92253-2070 | |
(760) 771-8334 | |
(760) 771-8337 |
Full Name | Rita C. Soto Dds, Inc. |
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Speciality | Dentist - Pediatric Dentistry |
Location | 78900 Ave 47, La Quinta, California |
Authorized Official Name and Position | Rita C. Soto (OFFICER/DENTIST) |
Authorized Official Contact | 7607718334 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Rita C. Soto Dds, Inc. 78900 Avenue 47 Suite 110 La Quinta CA 92253-2070 Ph: (760) 771-8334 | Rita C. Soto Dds, Inc. 78900 Ave 47 Suite 110 La Quinta CA 92253-2070 Ph: (760) 771-8334 |
NPI Number | 1528382769 |
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Provider Enumeration Date | 03/17/2010 |
Last Update Date | 03/17/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528382769 | NPI | - | NPPES |
1164595260 | Other | CA | SOLE PROPRIETORSHIP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 44092 (California) | Primary |
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