Individual
CLEONA OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11901 SHADOW CREEK PKWY STE 135, PEARLAND, TX 77584-7346
(210) 497-7151
Mailing address
18015 SUMMER KNOLL DR, SAN ANTONIO, TX 78258-3401
(210) 497-7151
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
32279
TX
1223G0001X
General Practice Dentistry
Primary
32279
TX
Other
Enumeration date
02/13/2016
Last updated
04/02/2018
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