Provider Demographics
NPI:1184201865
Name:SORIA, XIOMARA (DH)
Entity Type:Individual
Prefix:
First Name:XIOMARA
Middle Name:
Last Name:SORIA
Suffix:
Gender:F
Credentials:DH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10621 N KENDALL DR STE 102
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-1549
Mailing Address - Country:US
Mailing Address - Phone:305-271-0510
Mailing Address - Fax:305-271-3532
Practice Address - Street 1:10621 N KENDALL DR STE 102
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-1549
Practice Address - Country:US
Practice Address - Phone:305-271-0510
Practice Address - Fax:305-271-3532
Is Sole Proprietor?:No
Enumeration Date:2021-03-27
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDH16490124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist