Individual
ANA MARIA OLIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
948 DIABLO AVE, NOVATO, CA 94947-4025
(415) 897-8020
Mailing address
15620 116TH AVE SE, RENTON, WA 98058-4624
(206) 683-0056
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
101100
CA
Other
Enumeration date
02/22/2017
Last updated
02/22/2017
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