Provider Demographics
NPI:1588714034
Name:SOLOMON, JOSHUA JOSEPH
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:JOSEPH
Last Name:SOLOMON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1133 E STANLEY BLVD
Mailing Address - Street 2:SUITE #217
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94550-4200
Mailing Address - Country:US
Mailing Address - Phone:925-447-1377
Mailing Address - Fax:925-447-1382
Practice Address - Street 1:1330 CONCANNON BLVD
Practice Address - Street 2:
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94550-6004
Practice Address - Country:US
Practice Address - Phone:925-447-1377
Practice Address - Fax:925-447-1382
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA489981223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry