Provider Demographics
NPI:1093269391
Name:SOLAR DENTAL SPECIALTIES
Entity Type:Organization
Organization Name:SOLAR DENTAL SPECIALTIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:THERESA
Authorized Official - Last Name:HEBERT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:720-739-1630
Mailing Address - Street 1:19621 SOLAR CIR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-7323
Mailing Address - Country:US
Mailing Address - Phone:720-739-1630
Mailing Address - Fax:720-367-5025
Practice Address - Street 1:19621 SOLAR CIR
Practice Address - Street 2:SUITE 201
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-7323
Practice Address - Country:US
Practice Address - Phone:720-739-1630
Practice Address - Fax:720-367-5025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-04
Last Update Date:2016-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN000107051223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Multi-Specialty