Individual
MS. CHRISTINA MARIE OLIVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 MARYLAND DR, VISTA, CA 92083-3341
(760) 295-0868
Mailing address
1120 MARYLAND DR, VISTA, CA 92083-3341
(760) 295-0868
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
B4476561
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
90709386A47179
MEDICAL
CA
Enumeration date
04/17/2008
Last updated
04/17/2008
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