Individual
ALEXANDRIA LAINE OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4617 SUMMERHILL RD STE 3, TEXARKANA, TX 75503-2783
(903) 838-5506
Mailing address
4208 MONROE DR, TEXARKANA, TX 75503-2166
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
39690
TX
1223G0001X
General Practice Dentistry
4695
AR
Other
Enumeration date
03/06/2023
Last updated
08/17/2023
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