Provider Demographics
NPI:1679310940
Name:SOLORZANO MONACA, YOHANNY ANDREA (DDS)
Entity type:Individual
Prefix:DR
First Name:YOHANNY
Middle Name:ANDREA
Last Name:SOLORZANO MONACA
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 1:5955 NW 105TH CT APT 627
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33178-6657
Mailing Address - Country:US
Mailing Address - Phone:786-587-7206
Mailing Address - Fax:
Practice Address - Street 1:8501 SW 124TH AVE STE 104
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-4631
Practice Address - Country:US
Practice Address - Phone:786-587-7206
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-12
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN29360122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist