MEDICARE: DR. JOANNE S SOTTO D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	41312	CA

General Provider Information

NPI Number	:	1588987366
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOANNE S SOTTO D.D.S.

Provider Business Mailing Address
First Line	:	1289 E HILLSDALE BLVD STE 10
Second Line	:
City	:	FOSTER CITY
State	:	CA
Zip	:	94404-1219
Country	:	US
Telephone Number	:	650-525-0900
Fax Number	:	650-525-0903

Provider Business Practice Location Address
First Line	:	1289 E HILLSDALE BLVD STE 10
Second Line	:
City	:	FOSTER CITY
State	:	CA
Zip	:	94404-1219
Country	:	US
Telephone Number	:	650-525-0900
Fax Number	:	650-525-0903

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/08/2010
Last Update Date	:	04/07/2022

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