Organization
ADVANCED DENTAL IMAGING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM LAURENCE OLIVER D.D.S. (OWNER)
(682) 738-3027
Entity
Organization
Contact information
Practice address
5005 HERITAGE AVE, SUITE 180, COLLEYVILLE, TX 76034-5913
(682) 738-3027
Mailing address
5005 HERITAGE AVE, SUITE 180, COLLEYVILLE, TX 76034-5913
(682) 738-3027
(800) 618-8507
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
TX
Other
Enumeration date
05/18/2008
Last updated
05/19/2008
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