| Solis Dental Group | |
|
515 Valley View Drive Suite 105 Moline IL 61265 | |
| (309) 764-4944 | |
| (309) 764-4940 |
| Full Name | Solis Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 515 Valley View Drive, Moline, Illinois |
| Authorized Official Name and Position | Kevin Solis (OWNER) |
| Authorized Official Contact | 3097644944 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Solis Dental Group 515 Valley View Drive Suite 105 Moline IL 61265 Ph: (309) 764-4944 | Solis Dental Group 515 Valley View Drive Suite 105 Moline IL 61265 Ph: (309) 764-4944 |
| NPI Number | 1629113279 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 07/29/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629113279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 19025339 (Illinois) | Primary |
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