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Provider Information for 1154592756

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. ANGEL EDGARDO SOTO DDS

Gender: MALE

Individual NPI: 1154592756

Calendar   Last Updated:  2021-01-22
  Certification Date:  2021-01-22

Details

Name Value
NPI 1154592756
Enumeration Date 2008-03-21
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 6227 FAIR OAKS BLVD
CARMICHAEL, CA 95608-4807
United States

Phone: 916-979-7122 | Fax: 916-979-7123
View Map External Link
Primary Practice Address 6227 FAIR OAKS BLVD
CARMICHAEL, CA 95608-4807
United States

Phone: 916-979-7122 | Fax: 916-979-7123
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice CA 56302
No 122300000X - Dentist CA 56302