Individual
DR. WESLEY A OLSEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
205 EAST BEAVER AVE, STATE COLLEGE, PA 16801
(814) 861-1500
(814) 861-1200
Mailing address
205 EAST BEAVER AVE, STATE COLLEGE, PA 16801
(814) 861-1500
(814) 861-1200
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DS029028L
PA
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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