Provider Demographics
NPI:1962689547
Name:SOLIMAN, MAMDOUH S (DMD)
Entity Type:Individual
Prefix:DR
First Name:MAMDOUH
Middle Name:S
Last Name:SOLIMAN
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 1:370 HALSEY RD
Mailing Address - Street 2:
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-2613
Mailing Address - Country:US
Mailing Address - Phone:732-398-3981
Mailing Address - Fax:
Practice Address - Street 1:370 HALSEY RD
Practice Address - Street 2:
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-2613
Practice Address - Country:US
Practice Address - Phone:732-398-3981
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-26
Last Update Date:2008-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ166721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice