| NPI | 1942547591 |
|---|---|
| Doing Business As | OLIVE DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | GREGORY MORRIS O'CONNOR Owner/Dentist 209-722-7789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2013-01-15 |