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Organization
GARRETT D. OLIVE, DDS, PLLC
Active
Organization
GARRETT D. OLIVE, DDS, PLLC
Active
Other names
Midtown Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MYSHAL LEANNE OLIVE (OWNER)
(580) 630-3333
Entity
Organization
Contact information
Practice address
809 NW HIGHWAY 270, WOODWARD, OK 73801-1734
(580) 256-6054
(580) 256-6057
Mailing address
1120 18TH ST, WOODWARD, OK 73801-2921
(580) 256-6054
(580) 256-6057
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6805
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
815392332
—
OK
Enumeration date
05/15/2017
Last updated
04/14/2022
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