Individual
DR. JUSTIN OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
15600 SAN PEDRO AVE STE 107, SAN ANTONIO, TX 78232-3738
(435) 512-3442
Mailing address
15600 SAN PEDRO AVE STE 107, SAN ANTONIO, TX 78232-3738
(435) 512-3442
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401413760
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
33515
TX
Other
Enumeration date
09/14/2012
Last updated
07/30/2025
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