Provider Demographics
NPI:1295366722
Name:SOL SMILES
Entity Type:Organization
Organization Name:SOL SMILES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANIL
Authorized Official - Middle Name:K
Authorized Official - Last Name:VUGGAM
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:857-205-5176
Mailing Address - Street 1:5500 DONIPHAN DR STE G
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79932-1455
Mailing Address - Country:US
Mailing Address - Phone:857-205-5176
Mailing Address - Fax:
Practice Address - Street 1:5500 DONIPHAN DR STE G
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79932-1455
Practice Address - Country:US
Practice Address - Phone:857-205-5176
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-03
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental