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Organization
OLYMPIA HILLS FAMILY DENTAL, PC
Active
Organization
OLYMPIA HILLS FAMILY DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERAME K HAFEN DDS (PRESIDENT/DENTIST)
(210) 845-8831
Entity
Organization
Contact information
Practice address
8056 SHIN OAK DR, STE 100, LIVE OAK, TX 78233
(210) 658-3131
(210) 658-9033
Mailing address
8056 SHIN OAK DR, STE 100, LIVE OAK, TX 78233
(210) 658-3131
(210) 658-9033
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
25021
TX
Other
Enumeration date
10/20/2014
Last updated
04/20/2022
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