Individual
NICOLE OLIVARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
450 SUTTER ST RM 1314, SAN FRANCISCO, CA 94108-4002
(415) 781-7147
Mailing address
450 SUTTER ST RM 1314, SAN FRANCISCO, CA 94108-4002
(415) 781-7147
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
64931
CA
1223P0300X
Periodontics
D10020
OR
Other
Enumeration date
06/25/2013
Last updated
01/26/2016
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