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Individual

OLIVIA MARIE VAN PRAAG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
3001 HIGHWAY 78 E, JASPER, AL 35501-8918
(205) 221-9190
Mailing address
3001 HIGHWAY 78 E, JASPER, AL 35501-8918
(205) 221-9190

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D.007440-C1
AL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/13/2025
Last updated
07/15/2025
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