Mark Douglas Oliver, D.D.S.
Dentist, General Practice in Wilmington, DE. Individual provider (NPI-1).
NPI number1609986330
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1609986330
- Entity type
- Individual (NPI-1)
- Name
- Mark Douglas Oliver
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 30, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | G1-0000953 | DE | Yes |
Practice location
1601 Kirkwood HwyWilmington, DE 19805-4917
Phone 302-633-5283
Mailing address
1601 Kirkwood HwyWilmington, DE 19805-4917
Phone 302-633-5283
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