Provider Demographics
NPI:1255696142
Name:SHIR, SOLMAZ (DDS)
Entity type:Individual
Prefix:MISS
First Name:SOLMAZ
Middle Name:
Last Name:SHIR
Suffix:
Gender:F
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:PO BOX 4204
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92616-4204
Mailing Address - Country:US
Mailing Address - Phone:281-389-6349
Mailing Address - Fax:
Practice Address - Street 1:5817 PINE AVE STE A
Practice Address - Street 2:
Practice Address - City:CHINO HILLS
Practice Address - State:CA
Practice Address - Zip Code:91709-6533
Practice Address - Country:US
Practice Address - Phone:909-606-4500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-07
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADDS1096541223P0221X
TX281041223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry