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Organization

DUSTIN R. SOLIS DDS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DUSTIN R SOLIS DDS (OWNER)
(516) 307-1050
Entity
Organization

Contact information

Practice address
192 JERICHO TPKE, MINEOLA, NY 11501-1723
(516) 307-1050
(516) 307-1052
Mailing address
192 JERICHO TPKE, MINEOLA, NY 11501-1723
(516) 307-1050

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
053183
NY

Other

Enumeration date
09/08/2015
Last updated
09/08/2015
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