Individual
EMMANUEL GABRIEL SOLANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1705 S 4TH ST APT C, ALHAMBRA, CA 91803-3522
(323) 596-5481
Mailing address
1705 S 4TH ST APT C, ALHAMBRA, CA 91803-3522
(323) 596-5481
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
66928
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
66928
—
CA
Enumeration date
09/19/2018
Last updated
09/19/2018
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