Organization
MAIDELYS OLIVA DMD PA
Active
Other names
Olive Tree Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MAIDELYS OLIVA DMD (PRESIDENT)
(305) 791-4518
Entity
Organization
Contact information
Practice address
7920 MIAMI LAKES DRIVE WEST, UNIT 120, MIAMI LAKES, FL 33016
(305) 424-7588
Mailing address
7920 MIAMI LAKES DRIVE WEST, SUITE 120, MIAMI LAKES, FL 33016
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
07/10/2023
Last updated
09/01/2023
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