Provider Demographics
NPI:1295754745
Name:SOLOMON, RAYMOND MILES (DDS)
Entity type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:MILES
Last Name:SOLOMON
Suffix:
Gender:M
Credentials:DDS
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Mailing Address - Street 1:9234 N KOBER RD
Mailing Address - Street 2:
Mailing Address - City:PARADISE VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85253-1878
Mailing Address - Country:US
Mailing Address - Phone:480-614-5520
Mailing Address - Fax:480-614-3478
Practice Address - Street 1:5757 W THUNDERBIRD RD
Practice Address - Street 2:SUITE #E-451
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85306-4641
Practice Address - Country:US
Practice Address - Phone:602-345-7959
Practice Address - Fax:480-614-3478
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2015-04-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZD49231223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry