Individual
DR. MICHAEL WAYNE OLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2137 NE 4TH ST, BEND, OR 97701-3824
(541) 389-4807
Mailing address
2137 NE 4TH ST, BEND, OR 97701-3824
(541) 389-4807
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4652
OR
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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