Individual
DR. BRIAN JESSE OLVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6444 YORK BLVD, LOS ANGELES, CA 90042-3642
(323) 351-4922
Mailing address
6444 YORK BLVD, LOS ANGELES, CA 90042-3642
(323) 351-4922
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60952
CA
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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