MEDICARE: ROBERT ELLIOTT SOOHOO DDS

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	122300000X	Dentist	39565	CA

General Provider Information

NPI Number	:	1346531944
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT ELLIOTT SOOHOO DDS

Provider Business Mailing Address
First Line	:	5030 LAGUNA BLVD
Second Line	:	SUITE 108
City	:	ELK GROVE
State	:	CA
Zip	:	95758-4149
Country	:	US
Telephone Number	:	916-684-4888
Fax Number	:

Provider Business Practice Location Address
First Line	:	5030 LAGUNA BLVD
Second Line	:	SUITE 108
City	:	ELK GROVE
State	:	CA
Zip	:	95758-4149
Country	:	US
Telephone Number	:	916-684-4888
Fax Number	:

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

Provider Enumeration Date	:	04/29/2011
Last Update Date	:	05/02/2011

Similar Medicare Providers

1295849107 — DR. CURTIS P PON DDS
Practice Location Address:

5030 LAGUNA BLVD , SUITE 108
ELK GROVE, CA
95758-4149

Practice Phone: 916-684-4888
Practice Fax: 916-684-6999

1063703643 — LAGUNA CREEK FAMILY DENTISTRY
Practice Location Address:

5030 LAGUNA BLVD STE 108
ELK GROVE, CA
95758-4149

Practice Phone: 916-684-4888
Practice Fax: 916-684-6999

1053272393 — ANNA GILL UPPAL DDS INC
Practice Location Address:

5030 LAGUNA BLVD STE 108
ELK GROVE, CA
95758-4149

Practice Phone: 916-684-4888
Practice Fax:

1447957105 — KIEU-NHI NGUYEN MT
Practice Location Address:

12431 ROCK SPRINGS CT
GARDEN GROVE, CA
92843-4149

Practice Phone: 714-204-2198
Practice Fax:

1285566695 — TAI HEALTHCARE LLC
Practice Location Address:

9412 BIG HORN BLVD STE 5
ELK GROVE, CA
95758-1101

Practice Phone: 209-918-1450
Practice Fax:

1497602171 — DAVID VERMEULEN II PHARMD
Practice Location Address:

9412 BIG HORN BLVD STE 5
ELK GROVE, CA
95758-1101

Practice Phone: 209-918-1450
Practice Fax:

Directions to “ ROBERT ELLIOTT SOOHOO DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.