Provider Demographics
NPI:1225803117
Name:SOLIMAN, SHAUN (DDS)
Entity Type:Individual
Prefix:DR
First Name:SHAUN
Middle Name:
Last Name:SOLIMAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23326 HAWTHORNE BLVD STE 190
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-3753
Mailing Address - Country:US
Mailing Address - Phone:310-361-9475
Mailing Address - Fax:
Practice Address - Street 1:23326 HAWTHORNE BLVD STE 190
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-3753
Practice Address - Country:US
Practice Address - Phone:310-361-9475
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-20
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1090301223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice