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DR. MAIDELYS OLIVA DMD
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1730597253
Individual Registrant:DR. MAIDELYS OLIVA DMD
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
9601 W ATLANTIC BLVD CORAL SPRINGS, FL 33071-6538 US
Tel: 954-753-7400 Fax: --
Tel: 954-753-7400 Fax: --
Contact information for business:
6600 MAIN ST APT 1405 MIAMI LAKES, FL 33014-2291 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1730597253
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 1223G0001X | Dental Providers Dentist General Practice | FL | DN20836 |
| Y | 1223P0221X | Dental Providers Dentist | FL | DN20836 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
