Healthcare Provider Details

I. General information

NPI: 1780553743
Provider Name (Legal Business Name): MAILIS SOLER, DMD, MS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2025
Last Update Date: 10/30/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7332 OFFICE PARK PL STE 102
MELBOURNE FL
32940-8241
US

IV. Provider business mailing address

7332 OFFICE PARK PL STE 102
MELBOURNE FL
32940-8241
US

V. Phone/Fax

Practice location:
  • Phone: 321-255-7740
  • Fax:
Mailing address:
  • Phone: 321-255-7740
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number
License Number State

VIII. Authorized Official

Name: MAILIS SOLER
Title or Position: PROSTHODONTIST
Credential: DMD, MS
Phone: 850-708-4574