Individual
DR. WILLIE TRANARD OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
52 EXECUTIVE PARK S, ATLANTA, GA 30329-2217
(614) 292-2401
Mailing address
555 COALVILLE DR, LAWRENCEVILLE, GA 30046-9364
(615) 596-1015
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN014758
GA
Other
Enumeration date
07/02/2013
Last updated
12/04/2015
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