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Individual

DR. OTHA LEE SOLOMON JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
BLDG 4100 GOSS RD, REDSTAONE ARSENAL DENTAL CLINIC, REDSTONE ARSENAL, AL 35809-7000
(256) 693-7127
Mailing address
BLDG 4100 GOSS RD, REDSTAONE ARSENAL DENTAL CLINIC, REDSTONE ARSENAL, AL 35809-7000
(256) 693-7127

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4990
NC
122300000X
Dentist
5984C
AL

Other

Enumeration date
10/14/2005
Last updated
06/03/2016
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