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Dr. Gabriel Jared Ollins, D.D.S

Dentist, Orthodontics and Dentofacial Orthopedics in Nutley, NJ. Individual provider (NPI-1).

NPI number1124350061
StatusActive
Last updated in NPPESFeb 3, 2010

Details

NPI
1124350061
Entity type
Individual (NPI-1)
Name
Dr. Gabriel Jared Ollins
Credential
D.D.S
Sex
Male
Sole proprietor
No
Enumeration date
Feb 3, 2010
Last updated
Feb 3, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics22DI02267900NJYes

Practice location

653 Franklin Ave
Nutley, NJ 07110-1209

Phone 973-667-0771

Mailing address

653 Franklin Ave
Nutley, NJ 07110-1209

Phone 973-667-0771

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