Individual
MR. HAROLD OLESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
206 NE 7TH, AMARILLO, TX 79101
(806) 374-9964
(806) 374-2945
Mailing address
1400 WALLACE BLVD, ATTN CREDENTIALING, AMARILLO, TX 79106
(806) 354-5585
(806) 356-4673
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17751
TX
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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