Individual
DR. DOMINIQUE OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
600 E BAILEY BOSWELL RD STE 100, SAGINAW, TX 76131-3566
(682) 285-1900
Mailing address
8610 ROYAL MONTREAL DR, ROWLETT, TX 75089-4823
(469) 288-3255
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
40763
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2022
Last updated
07/03/2024
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