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Individual
DR. SAMUEL ANTHONY OLLIO
Active
Individual
DR. SAMUEL ANTHONY OLLIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS015680
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225045826
BILLING PROVIDER NPI
PA
Enumeration date
03/25/2013
Last updated
03/25/2013
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