| Olivetree Dentistry Pllc | |
|
184 S Collins Rd Ste 100 Sunnyvale TX 75182-4636 | |
| (916) 878-9481 | |
| Not Available |
| Full Name | Olivetree Dentistry Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 184 S Collins Rd Ste 100, Sunnyvale, Texas |
| Authorized Official Name and Position | Merlin Koshy (OWNER) |
| Authorized Official Contact | 9168789481 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Olivetree Dentistry Pllc 184 S Collins Rd Ste 100 Sunnyvale TX 75182-4636 Ph: () - | Olivetree Dentistry Pllc 184 S Collins Rd Ste 100 Sunnyvale TX 75182-4636 Ph: (916) 878-9481 |
| NPI Number | 1801413018 |
|---|---|
| Provider Enumeration Date | 07/03/2020 |
| Last Update Date | 07/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801413018 | NPI | - | NPPES |
| 1821544073 | Other | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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