Organization
BRIANA L. OLLER, D.M.D., P.C.
Active
Other names
Simply Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIANA LEIGH OLLER DMD (PRESIDENT/DENTIST)
(618) 567-8487
Entity
Organization
Contact information
Practice address
25 GLEN ED PROFESSIONAL PARK, GLEN CARBON, IL 62034-3333
(618) 692-6040
(618) 692-6081
Mailing address
6824 DEER CRK, EDWARDSVILLE, IL 62025-3060
(618) 567-8487
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019026211
IL
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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