Organization
JOSIE G OLIVA DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSIE GEMARIE OLIVA DDS (OWNER)
(224) 610-9823
Entity
Organization
Contact information
Practice address
3074 W IL ROUTE 60, MUNDELEIN, IL 60060-4270
(847) 970-7070
(847) 970-7077
Mailing address
9058 N CUMBERLAND AVE, APT 2W, NILES, IL 60714-1447
(224) 610-9823
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019027925
IL
Other
Enumeration date
10/09/2012
Last updated
10/09/2012
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