Provider Demographics
NPI:1396853768
Name:SOLOMON, GARY B (DDS)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:B
Last Name:SOLOMON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:7201 ARBOR OAKS DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75248-2201
Mailing Address - Country:US
Mailing Address - Phone:972-931-9704
Mailing Address - Fax:972-931-8275
Practice Address - Street 1:18383 PRESTON RD STE 207
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75252-5487
Practice Address - Country:US
Practice Address - Phone:972-931-1777
Practice Address - Fax:972-931-8259
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11222122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist