Individual
DR. OLIVIA HUNTER CROOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1520 BROADWAY ST, TOLEDO, OH 43609-2855
(419) 255-9000
Mailing address
201 W 8TH ST, SUITE 810, PUEBLO, CO 81003-3038
(719) 562-4447
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901015165
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4657336
—
MI
Enumeration date
11/13/2006
Last updated
12/28/2010
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