Individual
DR. GABRIEL JARED OLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
653 FRANKLIN AVE, NUTLEY, NJ 07110-1209
(973) 667-0771
Mailing address
653 FRANKLIN AVE, NUTLEY, NJ 07110-1209
(973) 667-0771
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22DI02267900
NJ
Other
Enumeration date
02/03/2010
Last updated
02/03/2010
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