Provider Demographics
NPI:1114039781
Name:MOHAMED WALID SOLIMAN DDS INC
Entity Type:Organization
Organization Name:MOHAMED WALID SOLIMAN DDS INC
Other - Org Name:SEQUOIA DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:WALID
Authorized Official - Last Name:SOLIMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:559-562-1100
Mailing Address - Street 1:755 N SEQUOIA AVE
Mailing Address - Street 2:
Mailing Address - City:LINDSAY
Mailing Address - State:CA
Mailing Address - Zip Code:93247
Mailing Address - Country:US
Mailing Address - Phone:559-562-1100
Mailing Address - Fax:559-562-1699
Practice Address - Street 1:755 N SEQUOIA AVE
Practice Address - Street 2:
Practice Address - City:LINDSAY
Practice Address - State:CA
Practice Address - Zip Code:93247
Practice Address - Country:US
Practice Address - Phone:559-562-1100
Practice Address - Fax:559-562-1699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2013-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46974122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty