Organization
OLSEN & OLSEN PLLC
Active
Other names
Olsen Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN T OLSEN DDS, MS (CO-MANAGER)
(910) 246-3232
Entity
Organization
Contact information
Practice address
10564 S US HIGHWAY 15 501, SUITE D, SOUTHERN PINES, NC 28387-5167
(910) 246-3232
Mailing address
10564 S US HIGHWAY 15 501, SUITE D, SOUTHERN PINES, NC 28387-5167
(910) 246-3232
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
8177
NC
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8178
NC
Other
Enumeration date
07/02/2010
Last updated
07/02/2010
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