| Soltani Dental Corporation | |
|
760 La Playa St San Francisco CA 94121-3262 | |
| (415) 221-5592 | |
| (415) 221-8826 |
| Full Name | Soltani Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 760 La Playa St, San Francisco, California |
| Authorized Official Name and Position | Sam Soltani (DENTIST/PRESIDENT) |
| Authorized Official Contact | 7075671300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soltani Dental Corporation 760 La Playa St San Francisco CA 94121-3262 Ph: (415) 221-5592 | Soltani Dental Corporation 760 La Playa St San Francisco CA 94121-3262 Ph: (415) 221-5592 |
| NPI Number | 1902334956 |
|---|---|
| Provider Enumeration Date | 06/02/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902334956 | NPI | - | NPPES |
| 54307 | Other | CA | DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 54307 (California) | Primary |
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