ELIJAH DON OLIVERSON

BULLHEAD CITY, AZ
NPI1629700091
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: AZ  D011477)
Enumeration Date2022-06-25
Last Update Date2022-06-25
Business Address
ELIJAH DON OLIVERSON DDS
1093 HANCOCK RD
BULLHEAD CITY, AZ 86442-5904
Phone number: 928-758-5588
Mailing Address
ELIJAH DON OLIVERSON DDS
1093 HANCOCK RD
BULLHEAD CITY, AZ 86442-5904
Phone number: 928-758-5588