Individual
DR. CHARLES WOLD OLSEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
32 PASCACK RD, PARK RIDGE, NJ 07656-2024
(201) 476-1841
Mailing address
32 PASCACK RD, PARK RIDGE, NJ 07656-2024
(201) 476-1841
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI00995500
NJ
Other
Enumeration date
11/11/2009
Last updated
11/11/2009
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