Barbara Daniela Olivos Bazaes, DDS, MS
NPI #1003594938 in Jackson, Mississippi
Provider Information
- NPI Number
- 1003594938
- Entity Type
- Individual
- Name
- Barbara Daniela Olivos Bazaes, DDS, MS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS, MS
- Enumeration Date
- Jul 10, 2023
- Last Updated
- Jul 10, 2023
Practice Location
- Address
- 2500 N STATE ST
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39216-4500
- Phone
- (601) 984-6110
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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