Individual
STEFAN MICHAEL DE SOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 FLORIDA AVE, NEW ORLEANS, LA 70119-2715
(504) 941-8199
Mailing address
104 N GATEHOUSE DR APT E, METAIRIE, LA 70001-2045
(305) 450-0066
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7518
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/13/2023
Last updated
05/10/2024
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