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Organization
JORN N OLIMPIADA DDS INC
Active
Organization
JORN N OLIMPIADA DDS INC
Active
Other names
Olympics Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORN NATANAUAN OLIMPIADA D.D.S. (OWNER)
(510) 317-9439
Entity
Organization
Contact information
Practice address
15401 HESPERIAN BLVD, SUITE F, SAN LEANDRO, CA 94578-3973
(510) 317-9439
(510) 317-9558
Mailing address
15401 HESPERIAN BLVD, SUITE F, SAN LEANDRO, CA 94578-3973
(510) 317-9439
(510) 317-9558
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
47542
CA
Other
Enumeration date
11/09/2006
Last updated
08/22/2020
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