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Organization
SOLTANI DENTAL CORPORATION
Active
Organization
SOLTANI DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAM SOLTANI DDS (DENTIST/PRESIDENT)
(707) 567-1300
Entity
Organization
Contact information
Practice address
760 LA PLAYA ST, SAN FRANCISCO, CA 94121-3262
(415) 221-5592
(415) 221-8826
Mailing address
760 LA PLAYA ST, SAN FRANCISCO, CA 94121-3262
(415) 221-5592
(415) 221-8826
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
54307
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54307
DENTAL LICENSE
CA
Enumeration date
06/02/2017
Last updated
07/21/2022
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