Individual
DR. GREGORY D OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.D.
Contact information
Practice address
4232 E CHANDLER BLVD STE 10, PHOENIX, AZ 85048-8879
(480) 759-1119
Mailing address
18493 E WALNUT RD, QUEEN CREEK, AZ 85142-3551
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D009782
AZ
Other
Enumeration date
02/24/2011
Last updated
05/05/2023
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