Individual
MARIANELA ELEIDA OLIVARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
625 PANORAMA TRL, BUILDING 1, SUITE 200, ROCHESTER, NY 14625-2404
(585) 586-8600
(585) 586-2686
Mailing address
625 PANORAMA TRL, BUILDING 1, SUITE 200, ROCHESTER, NY 14625-2404
(585) 586-8600
(585) 586-2686
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
045924
NY
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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