So & Valdez, a Professional Dental Corporatiom

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

58408 Issued in CA

Legal business name

SO & VALDEZ, A PROFESSIONAL DENTAL CORPORATIOM

Practice address

847 San Pablo Ave
Albany, CA 94706-1602

Phone

(510) 418-3519

NPI assigned

Aug 6, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Patrick Ting So, DDS

Title

Co-Owner

Phone

(510) 418-3519

Specialties & licenses 2

Addresses

Other names 1

• Pediatric Oral Wellness Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375747200000",
    "number": "1922430487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 SAN PABLO AVE",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947061602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 SAN PABLO AVE",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947061602",
            "telephone_number": "510-418-3519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SO & VALDEZ, A PROFESSIONAL DENTAL CORPORATIOM",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-06",
        "last_updated": "2013-08-06",
        "status": "A",
        "authorized_official_last_name": "SO",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "TING",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "510-418-3519",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "58408",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "59271",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Oral Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allan Sio, DDS
• Joseph J Sipin, DMD
• Joyette Small
• Robyn Elizabeth Smith, MFT
• Adam Snider, PSYD
• Rebecca Liora Soffer, PSYD
• Solano Eyecare Optometric Professionals
• Immi Song, D.D.S., M.S.
• Sonya Brewer Psychotherapy Group, PC
• Source for Wellness

• All providers in Albany, CA
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.