Organization
SOLOMON PEDIATRIC DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND M SOLOMON D.D.S. (PEDIATRIC DENTIST)
(480) 231-6289
Entity
Organization
Contact information
Practice address
5757 W THUNDERBIRD RD, E-451, GLENDALE, AZ 85306-4641
(602) 345-7959
Mailing address
9234 N KOBER RD, PARADISE VALLEY, AZ 85253-1878
(480) 231-6289
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D4923
AZ
Other
Enumeration date
08/28/2011
Last updated
08/28/2011
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