Individual
OLIVIA LOEBLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
764 BESSEMER ST STE 100, MEADVILLE, PA 16335-1862
(814) 336-4304
Mailing address
77 OLSON RD, STONEBORO, PA 16153-3621
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS044118
PA
1223G0001X
General Practice Dentistry
DS044118
PA
Other
Enumeration date
06/12/2023
Last updated
06/13/2023
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