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Individual

SAMUEL J OLIVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
407 4TH AVE NE, CULLMAN, AL 35055-1949
(256) 734-1815
(256) 739-1821
Mailing address
407 4TH AVE NE, CULLMAN, AL 35055-1949
(256) 734-1815
(256) 739-1821

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2242
AL

Other

Enumeration date
11/02/2006
Last updated
07/08/2007
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