NPI | 1558357293 |
---|---|
Doing Business As | OLSEN AND OLSEN GENERAL DENTISTRY |
Entity Type | Organization |
Authorized Contact | DONNA BARBAGLIA OLSEN Owner President Dentist 704-593-1090 |
Organization Subpart ? | No |
Primary Taxonomy | 122400000X Denturist (Licence: NC 5940) |
Additional Taxonomies | 122400000X Denturist (Licence: NC 5941) |
Enumeration Date | 2005-09-27 |
Last Update Date | 2020-08-22 |