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Organization

OASIS DENTAL CARE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FRANK R. OLIVAS DDS (OWNER/DENTIST)
(928) 774-4030
Entity
Organization

Contact information

Practice address
930 N SWITZER CANYON DR, SUITE 200, FLAGSTAFF, AZ 86001-4824
(928) 774-4030
(928) 214-7326
Mailing address
930 N SWITZER CANYON DR, SUITE 200, FLAGSTAFF, AZ 86001-4824
(928) 774-4030
(928) 214-7326

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4850
AZ
1223G0001X
General Practice Dentistry
7153
AZ

Other

Enumeration date
09/15/2008
Last updated
09/15/2008
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