Individual
DR. GREGORY G. OLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2370 E BIDWELL, SUITE 130, FOLSOM, CA 95630-3463
(916) 983-6637
(916) 983-6610
Mailing address
2370 E BIDWELL, SUITE 130, FOLSOM, CA 95630-3463
(916) 983-6637
(916) 983-6610
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
019127270
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
59360
CA
Other
Enumeration date
06/08/2010
Last updated
11/26/2013
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