Individual
OLIVIA MIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
32342
TX
1223P0221X
Pediatric Dentistry
Primary
109494
CA
Other
Enumeration date
08/24/2016
Last updated
02/17/2024
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