Olive Dental

NPI #1831605419 in Warr Acres, Oklahoma

Provider Information

NPI Number: 1831605419
Entity Type: Organization
Organization Name: Olive Dental
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Dec 19, 2017
Last Updated: Jun 11, 2019

Practice Location

Address: 5500 NW EXPRESSWAY STE B
City: Warr Acres
State: Oklahoma
ZIP Code: 73132-5218
Phone: (405) 470-2200

Authorized Official

Name: DR. QIONG ZHOU LIU, DDS
Title: OWNER
Phone: (405) 470-2200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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