OLIVIA FAST

JOHNSON CITY, TN
NPI1588407548
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: TN  12515)
Enumeration Date2024-06-17
Last Update Date2024-06-17
Business Address
OLIVIA FAST DMD
135 MARKETPLACE BLVD STE 101
JOHNSON CITY, TN 37604-8933
Phone number: 423-434-2421
Mailing Address
OLIVIA FAST DMD
4121 BRADFORD LN
JOHNSON CITY, TN 37601-1064
Phone number: 276-365-0435