Provider Demographics
NPI:1346608478
Name:SOLARTE, MARCELA PATRICIA (DMD)
Entity Type:Individual
Prefix:
First Name:MARCELA
Middle Name:PATRICIA
Last Name:SOLARTE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:886 TULIP CIR
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33327-2451
Mailing Address - Country:US
Mailing Address - Phone:954-806-3500
Mailing Address - Fax:
Practice Address - Street 1:2863 EXECUTIVE PARK DR
Practice Address - Street 2:SUITE 101
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33331-3645
Practice Address - Country:US
Practice Address - Phone:954-217-1121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-03
Last Update Date:2016-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL206331223P0221X, 282NC2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No282NC2000XHospitalsGeneral Acute Care HospitalChildren