| Soleiman Professional Dental Corporation | |
|
24218 Valencia Blvd Valencia CA 91355-5391 | |
| (661) 288-0288 | |
| (661) 286-9925 |
| Full Name | Soleiman Professional Dental Corporation |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 24218 Valencia Blvd, Valencia, California |
| Authorized Official Name and Position | Bobby Soleiman (PRESIDENT) |
| Authorized Official Contact | 8183897288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soleiman Professional Dental Corporation Po Box 800152 Valencia CA 91380-0152 Ph: (818) 389-7288 | Soleiman Professional Dental Corporation 24218 Valencia Blvd Valencia CA 91355-5391 Ph: (661) 288-0288 |
| NPI Number | 1437364288 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 12/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437364288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 43860 (California) | Primary |
| 1223P0300X | Dentist - Periodontics | S4-61C (Nevada) | Secondary |
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