MEDICARE: A.SOLIMAN,D.D.S.,INC.

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
1	1223G0001X	General Practice Dentistry	37923	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	G91275-01	OTHER		MEDICAL

General Provider Information

NPI Number	:	1730385048
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A.SOLIMAN,D.D.S.,INC.

Provider Business Mailing Address
First Line	:	28052 CAMINO CAPISTRANO
Second Line	:	SUITE 212
City	:	LAGUNA NIGUEL
State	:	CA
Zip	:	92677-1121
Country	:	US
Telephone Number	:	949-364-2671
Fax Number	:	949-364-2672

Provider Business Practice Location Address
First Line	:	28052 CAMINO CAPISTRANO
Second Line	:	SUITE 212
City	:	LAGUNA NIGUEL
State	:	CA
Zip	:	92677-1121
Country	:	US
Telephone Number	:	949-364-2671
Fax Number	:	949-364-2672

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ASHRAF LOUTFI SOLIMAN
Credential	:	DDS
Telephone Number	:	949-364-2671

Provider Enumeration Date	:	06/23/2007
Last Update Date	:	08/13/2010

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Directions to “A.SOLIMAN,D.D.S.,INC. ” Practice Location

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