| NPI | 1184936403 |
|---|---|
| Doing Business As | OLSEN ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | JUSTIN T OLSEN Co Manager 910-246-3232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NC 8178) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NC 8177) |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2010-07-02 |