Individual
STEPHANIE ANN OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
113 PLANTATION AVE, CEDARTOWN, GA 30125-2371
(770) 748-7736
Mailing address
113 PLANTATION AVE, CEDARTOWN, GA 30125-2371
(770) 748-7736
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DGD.10631
SC
1223G0001X
General Practice Dentistry
Primary
DN123265
GA
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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