Individual
MARK R SOLTYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
600 WINSLOW WAY E, SUITE L20, BAINBRIDGE ISLAND, WA 98110-2463
(206) 842-7100
Mailing address
600 WINSLOW WAY E, SUITE L20, BAINBRIDGE ISLAND, WA 98110-2463
(206) 842-7100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5913
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07108
INSURANCE PROVIDER
WA
01
—
4104SO
INSURANCE PROVIDER
WA
05
—
5100201
—
WA
Enumeration date
06/06/2006
Last updated
07/08/2007
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