Individual
DR. OLIVIA FASHOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
1070 SAINT JAMES AVE, SPRINGFIELD, MA 01104-1453
(617) 336-8596
Mailing address
PO BOX 131, HOPKINTON, MA 01748-0131
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN123187
GA
1223G0001X
General Practice Dentistry
Primary
DN10000639
MA
Other
Enumeration date
07/19/2023
Last updated
03/21/2025
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