Individual
DR. MIGUEL T OLIVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2179 W 24TH ST, YUMA, AZ 85364-6240
(928) 782-4707
(928) 782-2212
Mailing address
2179 W 24TH ST, YUMA, AZ 85364-6240
(928) 782-4707
(928) 782-2212
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5796
AZ
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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