Provider Demographics
NPI:1467120667
Name:SOLEIMANI, AMIRHASSAN (DDS)
Entity Type:Individual
Prefix:
First Name:AMIRHASSAN
Middle Name:
Last Name:SOLEIMANI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2729 N PEARL ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98407-2418
Mailing Address - Country:US
Mailing Address - Phone:253-999-5503
Mailing Address - Fax:
Practice Address - Street 1:2729 N PEARL ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98407-2418
Practice Address - Country:US
Practice Address - Phone:253-999-5503
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-01
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61185610122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist