Provider Demographics
NPI:1346584331
Name:SORIA, HECTOR J (DDS)
Entity Type:Individual
Prefix:
First Name:HECTOR
Middle Name:J
Last Name:SORIA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11048 WASHINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90606-3006
Mailing Address - Country:US
Mailing Address - Phone:562-692-5998
Mailing Address - Fax:562-692-4998
Practice Address - Street 1:11048 WASHINGTON BLVD
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90606-3006
Practice Address - Country:US
Practice Address - Phone:562-692-5998
Practice Address - Fax:562-692-4998
Is Sole Proprietor?:No
Enumeration Date:2012-11-15
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA306801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice