Individual
LISA ANN SOLTANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1664 WEEKSVILLE RD BLDG 128, ELIZABETH CITY, NC 27909-6701
(252) 335-6460
(252) 335-6255
Mailing address
108 WILLIAM DR, ELIZABETH CITY, NC 27909-9457
(775) 287-1717
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
12446
ND
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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