Organization
SOLOMON T. WOLDESILASSIE, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOLOMON TEKLE WOLDESILASSIE DR. (PRESIDENT)
(480) 563-4173
Entity
Organization
Contact information
Practice address
26224 N TATUM BLVD STE 10, PHOENIX, AZ 85050-7500
(480) 563-4173
(480) 563-5019
Mailing address
26224 N TATUM BLVD STE 10, PHOENIX, AZ 85050-7500
(480) 563-4173
(480) 563-5019
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5068
AZ
Other
Enumeration date
08/21/2008
Last updated
08/21/2008
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