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General NPI Number Information
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NPI Number | 1972321263
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Entity Type | Organization
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Legal Business Name | SOLANO DENTAL, INC.
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Dates
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Enumeration Date | 09/26/2024
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Last Update Date | 09/26/2024
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Provider Practice Location Address
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Address Line | 320 S MAIN ST STE C
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City | SANTA ANA
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State | CA
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Zip | 92701-5782
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Country | US
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Telephone | 714-845-9511
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Fax |
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Provider Business Mailing Address
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Address Line | 30 WILLOWRUN
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City | IRVINE
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State | CA
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Zip | 92604-4721
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Country | US
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Telephone | 714-603-0717
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Fax |
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Authorized Official
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Title or Position | CEO/DENTIST
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Name | DALIA SOLANO GONZALEZ
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Credential | DDS
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Telephone | 714-603-0717
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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