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961 N Milliken Ave Ste 103 Ontario CA 91764-5022 | |
| (909) 581-7700 | |
| (909) 581-7707 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 961 N Milliken Ave Ste 103, Ontario, California |
| Authorized Official Name and Position | Soheil Alexander Soleimani (OWNER DENTIST) |
| Authorized Official Contact | 3103380444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4411 Redondo Beach Blvd Lawndale CA 90260-3465 Ph: (310) 338-0444 | 961 N Milliken Ave Ste 103 Ontario CA 91764-5022 Ph: (909) 581-7700 |
| NPI Number | 1982993853 |
|---|---|
| Provider Enumeration Date | 03/31/2011 |
| Last Update Date | 03/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982993853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 37922 (California) | Primary |
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