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NPI Code Detail

MEDICARE: MARIA AGNE SOLIS RDA

MEDICARE: MARIA AGNE SOLIS RDA
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
1126800000XDental Assistant47765CA

General Provider Information

NPI Number : 1821329921
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA AGNE SOLIS RDA
Provider Business Mailing Address
First Line : 5807 N. FIGUEROA ST.
Second Line :
City : HIGHLAND PARK
State : CA
Zip : 90042
Country : US
Telephone Number : 323-982-0999
Fax Number : 323-982-0350
Provider Business Practice Location Address
First Line : 5807 N FIGUEROA ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90042-4227
Country : US
Telephone Number : 323-982-0999
Fax Number : 323-982-0350
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2010
Last Update Date : 01/29/2010

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Directions to “ MARIA AGNE SOLIS RDA” Practice Location

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