Individual
DR. RANDALL OLIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
650 N NORTHWEST HWY, PARK RIDGE, IL 60068-2554
(847) 292-2700
(847) 292-2703
Mailing address
650 N NORTHWEST HWY, PARK RIDGE, IL 60068-2554
(847) 292-2700
(847) 292-2703
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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