Individual
KIMBERELY ANNE OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
14535 JOHN MARSHALL HIGHWAY, SUITE 209, GAINESVILLE, VA 20155
(703) 753-5838
Mailing address
36127 BELL RD, ROUND HILL, VA 20141-2440
(703) 753-2552
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410917
VA
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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