Olvera Dental

NPI #1083985345 in Saint Louis, Missouri

Provider Information

NPI Number: 1083985345
Entity Type: Organization
Organization Name: Olvera Dental
Primary Specialty: Dentist
Enumeration Date: Jan 18, 2012
Last Updated: Jan 18, 2012

Practice Location

Address: 1301 N KINGSHIGHWAY BLVD
City: Saint Louis
State: Missouri
ZIP Code: 63113-1408
Phone: (314) 367-1434

Authorized Official

Name: DR. MELISSA SELENE OLVERA, DDS
Title: GENERAL DENTIST
Phone: (314) 367-1434

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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