Organization
OLSON PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY WAITE (OFFICE MANAGER)
(360) 675-7573
Entity
Organization
Contact information
Practice address
31775 SR 20 STE A1, OAK HARBOR, WA 98277-5104
(360) 675-7573
Mailing address
31775 SR 20 STE A1, OAK HARBOR, WA 98277-5104
(360) 675-7573
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
00010051
WA
Other
Enumeration date
05/19/2009
Last updated
05/19/2009
Update your record
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