Provider Demographics
NPI:1689884405
Name:SORIANO, MYRIAN LIMFUECO (DMD)
Entity Type:Individual
Prefix:DR
First Name:MYRIAN
Middle Name:LIMFUECO
Last Name:SORIANO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:MYRIAN
Other - Middle Name:BALINGIT
Other - Last Name:LIMFUECO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:722 ALAMITOS AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90813-4726
Mailing Address - Country:US
Mailing Address - Phone:562-599-9329
Mailing Address - Fax:562-599-4838
Practice Address - Street 1:722 ALAMITOS AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90813-4726
Practice Address - Country:US
Practice Address - Phone:562-599-9329
Practice Address - Fax:562-599-4838
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA37251122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist