Provider Demographics
NPI:1982810149
Name:SOLTANIK, VALERIA (DMD, PA GP)
Entity Type:Individual
Prefix:MISS
First Name:VALERIA
Middle Name:
Last Name:SOLTANIK
Suffix:
Gender:F
Credentials:DMD, PA GP
Other - Prefix:MISS
Other - First Name:VALERIA
Other - Middle Name:
Other - Last Name:SOLTANIK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD, PA, GP
Mailing Address - Street 1:2999 NE 191ST ST
Mailing Address - Street 2:SUITE #350
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-3123
Mailing Address - Country:US
Mailing Address - Phone:305-466-2334
Mailing Address - Fax:
Practice Address - Street 1:2999 NE 191ST ST
Practice Address - Street 2:SUITE #350
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-3123
Practice Address - Country:US
Practice Address - Phone:305-466-2334
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2008-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN166091223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice