Healthcare Provider Details

I. General information

NPI: 1598248841
Provider Name (Legal Business Name): GEISER CECILIA SOLER DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/12/2018
Last Update Date: 09/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12121 WILSHIRE BLVD STE 1111
LOS ANGELES CA
90025-1188
US

IV. Provider business mailing address

960 E BIRCH AVE
FRESNO CA
93720-3203
US

V. Phone/Fax

Practice location:
  • Phone: 310-820-9933
  • Fax:
Mailing address:
  • Phone: 321-945-1665
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number103156
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: