DR. Olivia Stallard, DMD

NPI #1972127074 in Wise, Virginia

Provider Information

NPI Number: 1972127074
Entity Type: Individual
Name: DR. Olivia Stallard, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jun 4, 2020
Last Updated: Jun 4, 2020

Practice Location

Address: 5626 PATRIOT DR
City: Wise
State: Virginia
ZIP Code: 24293-1138
Phone: (276) 328-8850

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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