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Individual

DORIAN SOLOMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2232 GRAND AVE, FORT MYERS, FL 33901-3717
(239) 344-2344
(239) 332-3372
Mailing address
PO BOX 1357, FORT MYERS, FL 33902-1357
(239) 278-3600
(239) 226-4650

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN20526
FL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
0401418773
VA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
17589
MD
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
30.027033
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
011673600
FL
Enumeration date
03/14/2014
Last updated
08/08/2024
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