| Olive Tree Pediatric Dentistry | |
|
7920 Miami Lakes Drive West Unit 120 Miami Lakes FL 33016 | |
| (305) 424-7588 | |
| Not Available |
| Full Name | Olive Tree Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 7920 Miami Lakes Drive West, Miami Lakes, Florida |
| Authorized Official Name and Position | Maidelys Oliva (PRESIDENT) |
| Authorized Official Contact | 3057914518 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Olive Tree Pediatric Dentistry 7920 Miami Lakes Drive West Suite 120 Miami Lakes FL 33016 Ph: () - | Olive Tree Pediatric Dentistry 7920 Miami Lakes Drive West Unit 120 Miami Lakes FL 33016 Ph: (305) 424-7588 |
| NPI Number | 1346928363 |
|---|---|
| Provider Enumeration Date | 07/10/2023 |
| Last Update Date | 09/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346928363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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