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NPI Code Detail

MEDICARE: JOSEPH S OLEA DDS PA

MEDICARE: JOSEPH S OLEA DDS PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QD0000XDental Clinic/Center18093TX

General Provider Information

NPI Number : 1942460274
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOSEPH S OLEA DDS PA
Provider Business Mailing Address
First Line : 131 SW MILITARY DR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78221-1650
Country : US
Telephone Number : 210-924-3300
Fax Number : 210-924-4293
Provider Business Practice Location Address
First Line : 131 SW MILITARY DR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78221-1650
Country : US
Telephone Number : 210-924-3300
Fax Number : 210-924-4293
Authorized Official
Title or Position : DENTIST/ OWNER
Name : DR. JOSEPH S OLEA
Credential : DDS
Telephone Number : 210-924-3300
Provider Enumeration Date : 06/10/2008
Last Update Date : 06/10/2008

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