| NPI | 1497145296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS O OLSON Owner 717-755-1233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: PA 038290) |
| Enumeration Date | 2015-01-31 |
| Last Update Date | 2015-01-31 |