| Doctor Name: | PEDRO M SOTO |
| NPI Number: | 1356525943 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DDM |
| License Number: | 1042 |
| Business Practice Address: | 4996 1/2 W Rogers Blvd Skiatook, OK - 74070 |
| Business Phone Number: | 9183964002 |
| Business Fax Number: | 9183964002 |
| Mailing Address: | Po Box 724, SKIATOOK |
| State: | OK |
| Postal Code: | 740700724 |
| Phone Number: | 9183964002 |
| Fax Number: | 9183964002 |
| NPI Enumeration Date: | 12/19/2007 |
| NPI Last Update Date: | 12/19/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 122400000X |
| License Number: | 1042 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Dental Providers |
| Taxonomy Classification: | Denturist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |