Provider Demographics
NPI:1346362621
Name:SOLANEK FAMILY DENTISTRY, PLLC
Entity Type:Organization
Organization Name:SOLANEK FAMILY DENTISTRY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:CRISTIAN
Authorized Official - Last Name:SOLANEK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:603-472-7055
Mailing Address - Street 1:30 DALE RD # B
Mailing Address - Street 2:
Mailing Address - City:HOOKSETT
Mailing Address - State:NH
Mailing Address - Zip Code:03106-1654
Mailing Address - Country:US
Mailing Address - Phone:603-210-5235
Mailing Address - Fax:
Practice Address - Street 1:174 ROUTE 101 UNIT C1
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110-5417
Practice Address - Country:US
Practice Address - Phone:603-472-7055
Practice Address - Fax:603-472-7099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH035351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty