Individual
OLIVIA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
827 STAGE RD, AUBURN, AL 36830-5136
(334) 821-3887
Mailing address
827 STAGE RD, AUBURN, AL 36830-5136
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-0007082-C1
AL
Other
Enumeration date
07/10/2022
Last updated
07/10/2022
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