Individual
BETHANY ZAHIRA SOLARES SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
12180 BUSINESS PARK BLVD N, CHAMPLIN, MN 55316-4525
(763) 421-5206
Mailing address
2700 UNIVERSITY AVE W APT 312, SAINT PAUL, MN 55114-2022
(703) 895-1095
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D15080
MN
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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