Provider Demographics
NPI:1265637342
Name:SOLIMAN, AMANI (DDS)
Entity Type:Individual
Prefix:DR
First Name:AMANI
Middle Name:
Last Name:SOLIMAN
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 1:23591 EL TORO RD
Mailing Address - Street 2:SUITE # 130
Mailing Address - City:LAKE FOREST
Mailing Address - State:CA
Mailing Address - Zip Code:92630-4774
Mailing Address - Country:US
Mailing Address - Phone:949-597-8808
Mailing Address - Fax:949-597-8911
Practice Address - Street 1:23591 EL TORO RD
Practice Address - Street 2:SUITE # 130
Practice Address - City:LAKE FOREST
Practice Address - State:CA
Practice Address - Zip Code:92630-4774
Practice Address - Country:US
Practice Address - Phone:949-597-8808
Practice Address - Fax:949-597-8911
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-18
Last Update Date:2010-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA40018122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAD40018OtherMEDICAL