ELIZABETH SOTOMIL DDS INC NPI 1184185753

NPI Information

ELIZABETH SOTOMIL DDS, INC is a dental clinic center in Modesto, CA. ELIZABETH SOTOMIL DDS, INC NPI is 1184185753. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Smile Harvest Dental.

The provider's business location address is:

3609 COFFEE RD STE 3
MODESTO, CA
ZIP 95355-100
Phone: (209) 526-1190
Fax: (209) 526-3245

The provider's authorized official is Elizabeth Manzo Sotomil .
The authorized official title is Owner and has the following contact phone number (209) 526-1190.

The enumeration date for this NPI number is 3/27/2019 and was last updated on 8/21/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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