Provider Demographics
NPI:1447605803
Name:SOLAR DENTAL AND ORTHODONTICS PLLC
Entity Type:Organization
Organization Name:SOLAR DENTAL AND ORTHODONTICS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMAD
Authorized Official - Middle Name:RAGHID
Authorized Official - Last Name:ALOLABI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:469-387-6853
Mailing Address - Street 1:817 W PIONEER PKWY
Mailing Address - Street 2:SUITE 150
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75051
Mailing Address - Country:US
Mailing Address - Phone:469-387-6853
Mailing Address - Fax:469-779-9495
Practice Address - Street 1:817 W PIONEER PKWY
Practice Address - Street 2:SUITE 150
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75051
Practice Address - Country:US
Practice Address - Phone:469-387-6853
Practice Address - Fax:469-779-9495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-04
Last Update Date:2016-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX241851223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty