Provider Demographics
NPI:1942337134
Name:SOLHAUG, PAMELA (DDS)
Entity type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:
Last Name:SOLHAUG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3221 EASTLAKE AVE E STE 130
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98102-7125
Mailing Address - Country:US
Mailing Address - Phone:206-633-5100
Mailing Address - Fax:206-633-3667
Practice Address - Street 1:3221 EASTLAKE AVE E STE 130
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98102-7125
Practice Address - Country:US
Practice Address - Phone:206-633-5100
Practice Address - Fax:206-633-3667
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA81941223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice