| NPI | 1558380972 |
|---|---|
| Professional Name | DEENA A OLIVARES |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 21769) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 21769) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2021-06-01 |