Provider Demographics
NPI:1134736226
Name:HER, SOLOMON (DDS)
Entity type:Individual
Prefix:DR
First Name:SOLOMON
Middle Name:
Last Name:HER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:SOLOMON
Other - Middle Name:
Other - Last Name:HER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:8131 AUSTELL WAY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95828-4404
Mailing Address - Country:US
Mailing Address - Phone:916-856-0763
Mailing Address - Fax:
Practice Address - Street 1:3351 M ST STE 225
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95348-2731
Practice Address - Country:US
Practice Address - Phone:209-722-4480
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-23
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADDS105488122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist