NPI 1245480995
Olive Pino, DA
Practice location
- Address
- 516 E. Nizhoni Blvd, Gallup, NM 87301-1337
- Phone
- (505) 722-1000
- Fax
- (505) 722-1565
- Mailing address
- PO Box 1337, Gallup, NM 87305-1337
Registered specialties
Dental Assistant
Primary
Registry record
- NPI
- 1245480995
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 30 Sep 2008
- Record last updated
- 30 Sep 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.