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General NPI Number Information
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NPI Number | 1689960387
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Entity Type | Individual
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Provider Name | POONAM SOLANKI B.D.S.
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Gender | Female
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Dates
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Enumeration Date | 06/22/2011
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Last Update Date | 06/22/2011
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Provider Practice Location Address
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Address Line | 10900 EUCLID AVENUE
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City | CLEVELAND
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State | OH
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Zip | 44106-4905
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Country | US
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Telephone | 216-368-3236
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Fax |
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Provider Business Mailing Address
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Address Line | 11477 MAYFIELD ROAD APT #911
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City | CLEVELAND
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State | OH
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Zip | 44106
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Country | US
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Telephone | 210-216-2695
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | RES.2796
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License Number State | OH
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