Provider Demographics
NPI:1922723360
Name:SANTOYO, SONIA (DMD)
Entity Type:Individual
Prefix:DR
First Name:SONIA
Middle Name:
Last Name:SANTOYO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7937 CELEBREEZE CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89145-4439
Mailing Address - Country:US
Mailing Address - Phone:702-808-7300
Mailing Address - Fax:
Practice Address - Street 1:110 E BRUNER AVE STE 130
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89183-5700
Practice Address - Country:US
Practice Address - Phone:702-816-5885
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-07
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV77291223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice