DR. Mariam Soldin-Wasfi, D.M.D

NPI #1396198636 in Lake Forest, California

Provider Information

NPI Number: 1396198636
Entity Type: Individual
Name: DR. Mariam Soldin-Wasfi, D.M.D
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.M.D
Enumeration Date: Jul 22, 2016
Last Updated: Jul 22, 2016

Practice Location

Address: 24261 GRASS ST
City: Lake Forest
State: California
ZIP Code: 92630-5243
Phone: (949) 278-9449

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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