Healthcare Provider Details

I. General information

NPI: 1235065574
Provider Name (Legal Business Name): HABIB NASHAT SOLIMAN D.M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12636 LIMONITE AVE
EASTVALE CA
92880-4200
US

IV. Provider business mailing address

12070 GEODE ST
JURUPA VALLEY CA
91752-4464
US

V. Phone/Fax

Practice location:
  • Phone: 951-808-4323
  • Fax:
Mailing address:
  • Phone: 760-900-5514
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number113219
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: