Olivia Park Dental Corporation
NPI #1083368765 in Shafter, California
Provider Information
- NPI Number
- 1083368765
- Entity Type
- Organization
- Organization Name
- Olivia Park Dental Corporation
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Feb 10, 2022
- Last Updated
- Feb 10, 2022
Practice Location
- Address
- 1110 E LERDO HWY STE 200
- City
- Shafter
- State
- California
- ZIP Code
- 93263-9415
- Phone
- (661) 746-6989
Authorized Official
- Name
- OLIVIA PARK
- Title
- PRESIDENT
- Phone
- (337) 424-5950
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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