Individual
MISS KATHERINE SOLETIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
520 FRANKLIN AVE STE 204, GARDEN CITY, NY 11530
(516) 742-4422
Mailing address
20 GROSVENOR ST, DOUGLASTON, NY 11363-1005
(516) 993-3989
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
059689-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/27/2016
Last updated
07/24/2018
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