Individual
DR. OLGA MICHAUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
301 BRIDGE PLZ N, FORT LEE, NJ 07024-5059
(201) 346-4660
(201) 346-1116
Mailing address
90 ANDREA CT, PARAMUS, NJ 07652-5346
(201) 845-4901
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
051096
NY
1223P0300X
Periodontics
Primary
22DI02358500
NJ
Other
Enumeration date
12/05/2007
Last updated
12/05/2007
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