Individual
DR. OLYSIA N TAKLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
5855 W UTOPIA RD, GLENDALE, AZ 85308-5251
(623) 806-7175
Mailing address
5813 W DEL LAGO CIR, GLENDALE, AZ 85308-6205
(440) 822-4038
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D009180
AZ
Other
Enumeration date
08/11/2014
Last updated
07/26/2021
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