Mrs. Clarissa Soto
Dental Assistant
1001 Laurel Oak Rd Ste C2
Voorhees
, New Jersey 08043-3512
Mrs. Clarissa Soto
Dental Assistant
1001 Laurel Oak Rd Ste C2
Voorhees
, New Jersey 08043-3512
(856) 367-7057
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About
Features
Specialties
- Dental Assistant
Languages spoken
- English
Location
First Address
- Mrs. Clarissa Soto
- 3030 Garfield Ave
- Millville, NJ
- Zip : 08332-7641
- Fax : (856) 367-7057
- Phone : (609) 431-3394
Second Address
- Mrs. Clarissa Soto
- 1001 Laurel Oak Rd Ste C2
- Voorhees, NJ
- Zip : 08043-3512
- Fax : (856) 783-3517
- Phone : (856) 783-3515
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | 200076 | NJ |
National Provider Identifier
| NPI | 1245539006 |
|---|---|
| Provider Name | Mrs. Clarissa Soto |
| First Address | Millville, NJ 08332-7641 |
| Second Address | Voorhees, NJ 08043-3512 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/03/2011 |
| Last Update Date | 19/03/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 200076 | CERTIFIED DENTAL ASSISTANT (01) | NJ |
| 639755 | DENTAL RADIOGRAPHY LICENSE (01) | NJ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.