Individual
DR. JUSTIN T OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1201 N. STONEWALL AVE, POST OFFICE BOX 26901, OKLAHOMA CITY, OK 73190-3044
(404) 271-4148
(405) 271-6012
Mailing address
1201 N. STONEWALL AVE, PO BOX 26901, OKLAHOMA CITY, OK 73190-3044
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8178
NC
Other
Enumeration date
07/10/2008
Last updated
07/10/2008
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