Individual
DR. JOSIE GEMARIE DE LEON OLIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3125 W HUNT HWY STE 101, SAN TAN VALLEY, AZ 85142-9331
(480) 900-6622
Mailing address
4143 E DEVON DR, GILBERT, AZ 85296-1411
(224) 610-9823
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019.027925
IL
1223G0001X
General Practice Dentistry
Primary
D010137
AZ
Other
Enumeration date
06/24/2009
Last updated
04/15/2019
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