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Individual

DR. CARLOS ANTONIO SOLIS PENA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
14435 HAMLIN ST STE 101, VAN NUYS, CA 91401-6205
(818) 988-7067
Mailing address
19013 SCHOOLCRAFT ST, RESEDA, CA 91335-3925
(818) 943-1625

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
108230
CA

Other

Enumeration date
04/05/2023
Last updated
04/06/2023
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