Olive Dental Group | |
6432 Bolsa Ave Huntington Beach CA 92647-2599 | |
(714) 891-5245 | |
(714) 890-1025 |
Full Name | Olive Dental Group |
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Speciality | Dentist - General Practice |
Location | 6432 Bolsa Ave, Huntington Beach, California |
Authorized Official Name and Position | Gary Thomas Schmidt (OWNER) |
Authorized Official Contact | 7148915245 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Olive Dental Group 6432 Bolsa Ave Huntington Beach CA 92647-2599 Ph: (714) 891-5245 | Olive Dental Group 6432 Bolsa Ave Huntington Beach CA 92647-2599 Ph: (714) 891-5245 |
NPI Number | 1851318513 |
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Provider Enumeration Date | 07/17/2006 |
Last Update Date | 10/29/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851318513 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 25027 (California) | Primary |
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