Provider Demographics
NPI:1013426089
Name:LORA, SOLANGE (DMD)
Entity Type:Individual
Prefix:DR
First Name:SOLANGE
Middle Name:
Last Name:LORA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:SOLANGE
Other - Middle Name:ANEURI
Other - Last Name:ABREU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:301 RITTENHOUSE CIR
Mailing Address - Street 2:
Mailing Address - City:HAVERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19083-2116
Mailing Address - Country:US
Mailing Address - Phone:347-300-1650
Mailing Address - Fax:
Practice Address - Street 1:7300 CITY AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19151-2218
Practice Address - Country:US
Practice Address - Phone:215-473-7717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-21
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0414871223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice