Individual
DR. EDWIN JOSEPH OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
151 NORTH MAIN STREET, HARDWICK, VT 05843-0537
(802) 472-2260
(802) 472-2263
Mailing address
151 NORTH MAIN STREET, HARDWICK, VT 05843-0537
(802) 472-2260
(802) 472-2263
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0160000641
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001913
—
VT
Enumeration date
08/01/2008
Last updated
02/10/2012
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