Individual
DR. OLIVIA ALEXANDRA CAVAZOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1025 STRAKA TER, OKLAHOMA CITY, OK 73139-2544
(405) 632-6688
Mailing address
15604 POTOMAC DR, EDMOND, OK 73013-0035
(405) 694-0949
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
7565
OK
1223G0001X
General Practice Dentistry
Primary
7565
OK
Other
Enumeration date
05/26/2022
Last updated
11/17/2022
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