Josie G Oliva DDS PC

NPI #1265784706 in Mundelein, Illinois

Provider Information

NPI Number: 1265784706
Entity Type: Organization
Organization Name: Josie G Oliva DDS PC
Primary Specialty: Dentist
Enumeration Date: Oct 9, 2012
Last Updated: Oct 9, 2012

Practice Location

Address: 3074 W IL ROUTE 60
City: Mundelein
State: Illinois
ZIP Code: 60060-4270
Phone: (847) 970-7070

Authorized Official

Name: DR. JOSIE GEMARIE OLIVA, DDS
Title: OWNER
Phone: (224) 610-9823

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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