Organization
OLSON ORTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS O OLSON DDS, MS (OWNER)
(717) 755-1233
Entity
Organization
Contact information
Practice address
2206 E MARKET ST, YORK, PA 17402-2850
(717) 755-1233
Mailing address
2206 E MARKET ST, YORK, PA 17402-2850
(717) 755-1233
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
038290
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024778140001
—
PA
Enumeration date
01/31/2015
Last updated
01/31/2015
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