Provider Demographics
NPI:1932270592
Name:CJ SOLOMAN DDS PA
Entity Type:Organization
Organization Name:CJ SOLOMAN DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CARIN
Authorized Official - Middle Name:JODY
Authorized Official - Last Name:SOLOMON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-367-4007
Mailing Address - Street 1:25815 BUDDE RD
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-2009
Mailing Address - Country:US
Mailing Address - Phone:281-367-4007
Mailing Address - Fax:281-367-4012
Practice Address - Street 1:25815 BUDDE RD
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-2009
Practice Address - Country:US
Practice Address - Phone:281-367-4007
Practice Address - Fax:281-367-4012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX146961223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty