Provider Demographics
NPI:1518290683
Name:SOLEYMANI, KAMERAN (DMD)
Entity Type:Individual
Prefix:DR
First Name:KAMERAN
Middle Name:
Last Name:SOLEYMANI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4503 HANOVERVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18020-9463
Mailing Address - Country:US
Mailing Address - Phone:610-746-9400
Mailing Address - Fax:610-746-9500
Practice Address - Street 1:4503 HANOVERVILLE RD
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18020-9463
Practice Address - Country:US
Practice Address - Phone:610-746-9400
Practice Address - Fax:610-746-9500
Is Sole Proprietor?:No
Enumeration Date:2009-09-08
Last Update Date:2011-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0373491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice