Provider Demographics
NPI:1124756911
Name:SOLIMAN, SAMEH NASHAT (DMD, MPH)
Entity type:Individual
Prefix:DR
First Name:SAMEH
Middle Name:NASHAT
Last Name:SOLIMAN
Suffix:
Gender:M
Credentials:DMD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3591 HAMNER AVE STE D
Mailing Address - Street 2:
Mailing Address - City:NORCO
Mailing Address - State:CA
Mailing Address - Zip Code:92860-1376
Mailing Address - Country:US
Mailing Address - Phone:951-800-5933
Mailing Address - Fax:951-574-0406
Practice Address - Street 1:3591 HAMNER AVE STE D
Practice Address - Street 2:
Practice Address - City:NORCO
Practice Address - State:CA
Practice Address - Zip Code:92860-1376
Practice Address - Country:US
Practice Address - Phone:951-800-5933
Practice Address - Fax:951-574-0406
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-10
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1077491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1891403507OtherNPI-2 NUMBER