Individual
DR. CAMILO R SOLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
421 59TH ST, WEST NEW YORK, NJ 07093-2107
(201) 869-3407
(201) 869-3407
Mailing address
86 EASTBROOK DR, RIVER EDGE, NJ 07661-1004
(201) 342-0894
(201) 342-0894
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
09210
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5170102
—
NJ
Enumeration date
05/09/2007
Last updated
07/08/2007
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