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NPI Code Detail

MEDICARE: ALFREDO SOLANO D.D.S

MEDICARE: ALFREDO SOLANO D.D.S
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist44265CA

General Provider Information

NPI Number : 1700954260
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALFREDO SOLANO D.D.S
Provider Business Mailing Address
First Line : PO BOX 213281
Second Line :
City : ROYAL PALM BEACH
State : FL
Zip : 33421-3281
Country : US
Telephone Number : 209-230-3508
Fax Number :
Provider Business Practice Location Address
First Line : 12121 WILSHIRE BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90025-1123
Country : US
Telephone Number : 559-325-6161
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2006
Last Update Date : 12/23/2010

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Directions to “ ALFREDO SOLANO D.D.S” Practice Location

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