Soto, Clarissa

Soto, Clarissa is an individual health care provider with primary practice located at 1001 Laurel Oak Rd Ste C2 , Voorhees NJ 08043-3512. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Soto, Clarissa can be contacted via phone (856) 783-3515.

Contact Information

Primary practice address
1001 Laurel Oak Rd Ste C2 Voorhees NJ 08043-3512
Phone: (856) 783-3515
Fax: (856) 783-3517
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X 200076 New Jersey

Profile Details

NPI number 1245539006
LBN Legal business name Soto, Clarissa
Credentials Certified Dental Assistant (CDA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2011
Last updated Mar 19th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245539006 NPPES
New Jersey Other 639755 DENTAL RADIOGRAPHY LICENSE
New Jersey Other 200076 DENTAL RADIOGRAPHY LICENSE

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