Individual
DR. DAVID LEONARD OLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
145 W. CALUMET ST., APPLETON, WI 54915-4934
(920) 731-2777
(920) 733-3402
Mailing address
145 W. CALUMET ST., APPLETON, WI 54915-4934
(920) 731-2777
(920) 733-3402
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2491
WI
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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