Individual
CONSTANTINOS NICHOLA SOLDATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
510 OHIO AVE S, LIVE OAK, FL 32064-3219
(386) 362-1408
(386) 362-1319
Mailing address
510 OHIO AVE S, LIVE OAK, FL 32064-3219
(386) 362-1408
(386) 362-1319
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN13314
FL
Other
Enumeration date
11/07/2006
Last updated
08/17/2015
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