| NPI | 1164596227 |
|---|---|
| Former Legal Business Name | KENNETH W. OLSEN, D.M.D., P.A. |
| Entity Type | Organization |
| Authorized Contact | TERRY BRADIGAN Owner 603-643-4362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NH 2601) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2015-06-02 |