Albert Lawrence Soulema, DDS Valid NPI

Individual provider · Orthodontics and Dentofacial Orthopedics Dentistry · Thousand Oaks, CA

NPI

1942550835

Type

Individual (Type 1)

Primary specialty

Orthodontics and Dentofacial Orthopedics Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223X0400X

License number

61653 (CA)

Sex

Male

Sole proprietor

No

Enumerated

2012-09-18

Last updated

2018-06-02