Provider Demographics
NPI:1174856405
Name:SOLIS, KARLA (DDS)
Entity Type:Individual
Prefix:
First Name:KARLA
Middle Name:
Last Name:SOLIS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:761 E LADERA ST
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91104-2356
Mailing Address - Country:US
Mailing Address - Phone:818-395-6830
Mailing Address - Fax:
Practice Address - Street 1:74133 EL PASEO
Practice Address - Street 2:SUITE D
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-4119
Practice Address - Country:US
Practice Address - Phone:760-346-8056
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-18
Last Update Date:2011-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA565271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice