MEDICARE: MAILIS SOLER, DMD, MS, PLLC

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	1223P0700X	Prosthodontics

General Provider Information

NPI Number	:	1780553743
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAILIS SOLER, DMD, MS, PLLC

Provider Business Mailing Address
First Line	:	7332 OFFICE PARK PL STE 102
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32940-8241
Country	:	US
Telephone Number	:	321-255-7740
Fax Number	:

Provider Business Practice Location Address
First Line	:	7332 OFFICE PARK PL STE 102
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32940-8241
Country	:	US
Telephone Number	:	321-255-7740
Fax Number	:

Authorized Official
Title or Position	:	PROSTHODONTIST
Name	:	MAILIS SOLER
Credential	:	DMD, MS
Telephone Number	:	850-708-4574

Provider Enumeration Date	:	10/30/2025
Last Update Date	:	10/30/2025

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