Provider Demographics
NPI:1811285992
Name:SOLIMAN, OSAMA (DMD)
Entity type:Individual
Prefix:
First Name:OSAMA
Middle Name:
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 1:911 STEARN PLACE
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:L9T6N3
Mailing Address - Country:CA
Mailing Address - Phone:267-258-2599
Mailing Address - Fax:
Practice Address - Street 1:911 STEARN PLACE
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:ONTARIO
Practice Address - Zip Code:L9T 6N3
Practice Address - Country:CA
Practice Address - Phone:267-258-2599
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-11
Last Update Date:2015-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0442000147390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program