Individual
DR. JASON SAMUEL OLITSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
818 A1A N, SUITE 209, PONTE VEDRA BEACH, FL 32082-3295
(904) 273-1723
(904) 273-1726
Mailing address
818 A1A N, SUITE 209, PONTE VEDRA BEACH, FL 32082-3295
(904) 273-1723
(904) 273-1726
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN15791
FL
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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