Provider Demographics
NPI:1699950949
Name:SOLEIMANI, SOHEIL ALEXANDER (DDS)
Entity type:Individual
Prefix:
First Name:SOHEIL
Middle Name:ALEXANDER
Last Name:SOLEIMANI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4411 REDONDO BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:LAWNDALE
Mailing Address - State:CA
Mailing Address - Zip Code:90260-3465
Mailing Address - Country:US
Mailing Address - Phone:310-338-0444
Mailing Address - Fax:424-398-0156
Practice Address - Street 1:5795 WASHINGTON BLVD
Practice Address - Street 2:
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90232-7336
Practice Address - Country:US
Practice Address - Phone:310-338-0444
Practice Address - Fax:424-398-0156
Is Sole Proprietor?:No
Enumeration Date:2008-01-07
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA37922122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist