Individual
DR. KEVIN L OLIVEIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MSD
Contact information
Practice address
151 TREMONT ST, APT 24R, BOSTON, MA 02111-1125
(617) 638-4852
Mailing address
151 TREMONT ST, APT 24R, BOSTON, MA 02111-1125
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
21731
MA
Other
Enumeration date
08/18/2008
Last updated
08/18/2008
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