Olive Pino, DA

NPI #1245480995 in Gallup, New Mexico

Provider Information

NPI Number: 1245480995
Entity Type: Individual
Name: Olive Pino, DA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Assistant
Credential: DA
Enumeration Date: Sep 30, 2008
Last Updated: Sep 30, 2008

Practice Location

Address: 516 E. NIZHONI BLVD
City: Gallup
State: New Mexico
ZIP Code: 87301-1337
Phone: (505) 722-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Assistant	126800000X	Primary

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