Individual
DR. GARY ANDREW OLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S
Contact information
Practice address
773 BROADWAY, EL CAJON, CA 92021-4631
(619) 440-5915
Mailing address
773 BROADWAY, EL CAJON, CA 92021-4631
(619) 440-5915
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
24491
CA
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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