# DOMINIC SOLLER DDS INC

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

## Provider details

- **NPI number:** 1770776593
- **Authorized official:** DR. DOMINIC CABOTAJE SOLLER DDS (PRESIDENT)
- **Authorized official phone:** (949) 951-7800

## Contact information

- **Practice address:** 24351 AVE DE LA CARLOTA \#N4, LAGUNA HILLS, CA 92653
- **Practice address phone:** (949) 951-7800
- **Practice address fax:** (949) 855-1237
- **Mailing address:** 24351 AVE DE LA CARLOTA \#N4, LAGUNA HILLS, CA 92653
- **Mailing address phone:** (949) 951-7800
- **Mailing address fax:** (949) 855-1237

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 49218 | CA | Yes |

## Other

- **Enumeration date:** 08/24/2007
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 49218 | CALIFORNIA DENTAL BOARD | CA |