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Organization
JCOLSON DDS INC
Active
Organization
JCOLSON DDS INC
Active
Other names
Wailea Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY C OLSON DDS (OWNER/DENTIST)
(808) 875-8555
Entity
Organization
Contact information
Practice address
161 WAILEA IKE PL, SUITE B104, WAILEA, HI 96753-6521
(808) 875-8555
Mailing address
161 WAILEA IKE PL, SUITE B104, WAILEA, HI 96753-6521
(808) 875-8555
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2487
HI
Other
Enumeration date
12/01/2006
Last updated
01/30/2013
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