Organization
OLIVIA PARK DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLIVIA PARK (PRESIDENT)
(337) 424-5950
Entity
Organization
Contact information
Practice address
1110 E LERDO HWY STE 200, SHAFTER, CA 93263-9415
(661) 746-6989
Mailing address
1110 E LERDO HWY STE 200, SHAFTER, CA 93263-9415
(661) 746-6989
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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