Individual
THOMAS OBERT OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
250 FAME AVE, SUITE 206, HANOVER, PA 17331-1587
(717) 637-0202
(717) 637-5855
Mailing address
250 FAME AVE, SUITE 206, HANOVER, PA 17331-1587
(717) 637-0202
(717) 637-5855
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS038290
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024778140001
—
PA
Enumeration date
06/08/2010
Last updated
12/27/2013
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