Organization
CELE OLIVER DDS PLLC
Active
Other names
Children's Dentist and Orthodontist
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH GASKINS (DIRECTOR OF CREDENTIALING)
(972) 869-3789
Entity
Organization
Contact information
Practice address
14801 SAN PEDRO AVE, SAN ANTONIO, TX 78232-3708
(210) 495-5437
Mailing address
14801 SAN PEDRO AVE, SAN ANTONIO, TX 78232-3708
(210) 495-5437
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
12/11/2019
Last updated
12/11/2019
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