Individual
DR. MITCHELL JAMES LEE OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
450 GIBNER RD, CARLISLE, PA 17013-5090
(719) 629-7714
Mailing address
450 GIBNER RD, CARLISLE, PA 17013-5090
(717) 245-4541
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8371342-9922
UT
1223G0001X
General Practice Dentistry
Primary
8371342-9922
UT
Other
Enumeration date
08/06/2012
Last updated
10/03/2024
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