MEDICARE: DR. ABIGAIL SOTO 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	26561	TX

General Provider Information

NPI Number	:	1376823492
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ABIGAIL SOTO DDS

Provider Business Mailing Address
First Line	:	4901 LBJ FWY STE 300
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75244-6158
Country	:	US
Telephone Number	:	214-342-5757
Fax Number	:

Provider Business Practice Location Address
First Line	:	11125 LA QUINTA PL STE D
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79936-5254
Country	:	US
Telephone Number	:	915-779-2621
Fax Number	:	915-779-2634

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

Provider Enumeration Date	:	08/20/2011
Last Update Date	:	02/10/2026

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