Olive Dental Pllc

NPI #1114384674 in Houston, Texas

Provider Information

NPI Number: 1114384674
Entity Type: Organization
Organization Name: Olive Dental Pllc
Primary Specialty: Dentist
Enumeration Date: Jan 28, 2016
Last Updated: Jan 28, 2016

Practice Location

Address: 9510 BEECHNUT ST
Address 2: SUITE A1
City: Houston
State: Texas
ZIP Code: 77036-6608
Phone: (713) 382-8654

Authorized Official

Name: DR. THAER AL AZZAWI, D.M.D.
Title: GENERAL DENTIST/OWNER
Phone: (713) 382-8654

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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