Organization
MARISABEL OLIVERA, DMD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARISABEL OLIVERA DMD (DMD/OWNER)
(954) 727-9865
Entity
Organization
Contact information
Practice address
2022 NE 18TH ST, FORT LAUDERDALE, FL 33305-2508
(954) 727-9865
Mailing address
2022 NE 18TH ST, FORT LAUDERDALE, FL 33305-2508
(954) 727-9865
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
Primary
DN18784
FL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
06/08/2017
Last updated
07/21/2022
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