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Individual

DR. DEISE CRUZ OLIVEIRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
5535 CONNOR DR, EVANS, GA 30809-6164
(563) 650-0589
Mailing address
5535 CONNOR DR, EVANS, GA 30809-6164
(563) 650-0589

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
DN015304
GA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN015304
GA

Other

Enumeration date
01/08/2010
Last updated
07/15/2019
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