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General NPI Number Information
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NPI Number | 1629216809
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Entity Type | Organization
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Legal Business Name | DONALD J. SOLTERO, DDS
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Dates
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Enumeration Date | 01/27/2009
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Last Update Date | 01/27/2009
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Provider Practice Location Address
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Address Line | 188 106TH AVE NE #410
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City | BELLEVUE
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State | WA
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Zip | 98004
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Country | US
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Telephone | 425-454-2005
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Fax | 425-454-1360
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Provider Business Mailing Address
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Address Line | 188 106TH AVE NE #410
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City | BELLEVUE
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State | WA
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Zip | 98004
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Country | US
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Telephone | 425-454-2005
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Fax | 425-454-1360
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Authorized Official
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Title or Position | DENTIST
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Name | DR. DONALD JOHN SOLTERO
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Credential | D.D.S.
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Telephone | 425-454-2005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 4255
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License Number State | WA
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