# SOLOMON T. WOLDESILASSIE, DDS, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174770085
- **Authorized official:** DR. SOLOMON TEKLE WOLDESILASSIE DR. (PRESIDENT)
- **Authorized official phone:** (480) 563-4173

## Contact information

- **Practice address:** 26224 N TATUM BLVD STE 10, PHOENIX, AZ 85050-7500
- **Practice address phone:** (480) 563-4173
- **Practice address fax:** (480) 563-5019
- **Mailing address:** 26224 N TATUM BLVD STE 10, PHOENIX, AZ 85050-7500
- **Mailing address phone:** (480) 563-4173
- **Mailing address fax:** (480) 563-5019

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5068 | AZ | Yes |

## Other

- **Enumeration date:** 08/21/2008
- **Last updated:** 08/21/2008