Individual
DR. ANDRE OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
126 AUBURN AVE STE 100, AUBURN, WA 98002-5082
(253) 804-8713
Mailing address
955 POWELL AVE SW, RENTON, WA 98057-2908
(425) 277-1311
(425) 277-1566
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00010014
WA
1223G0001X
General Practice Dentistry
DE00010014
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5046974
—
WA
Enumeration date
08/07/2006
Last updated
01/14/2025
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