| Mariam Soldin-wasfi Dmd Professional Corp | |
|
31105 Rancho Viejo Rd Ste C2 San Juan Capistrano CA 92675-1717 | |
| (949) 218-3607 | |
| Not Available |
| Full Name | Mariam Soldin-wasfi Dmd Professional Corp |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 31105 Rancho Viejo Rd Ste C2, San Juan Capistrano, California |
| Authorized Official Name and Position | Mariam Soldin-wasfi (OWNER DENTIST) |
| Authorized Official Contact | 9492789449 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mariam Soldin-wasfi Dmd Professional Corp 31105 Rancho Viejo Rd Ste C2 San Juan Capistrano CA 92675-1717 Ph: (949) 218-3607 | Mariam Soldin-wasfi Dmd Professional Corp 31105 Rancho Viejo Rd Ste C2 San Juan Capistrano CA 92675-1717 Ph: (949) 218-3607 |
| NPI Number | 1114735677 |
|---|---|
| Provider Enumeration Date | 12/30/2024 |
| Last Update Date | 12/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114735677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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