Individual
OLIVIA JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1040 US HIGHWAY 1 STE 103, AVENEL, NJ 07001-1539
(732) 582-4224
Mailing address
515 W 59TH ST APT 20B, NEW YORK, NY 10019-0205
(845) 598-9991
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22DI03116100
NJ
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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