Organization
OLTJEN ORTHODONTICS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY MICHAEL OLTJEN ORTHODONTIST (DR & OWENER)
(913) 764-4333
Entity
Organization
Contact information
Practice address
15159 S. BLACKBOB RD., OLATHE, KS 66062-3304
(913) 764-4333
Mailing address
15159 S. BLACKBOB RD., OLATHE, KS 66062-3304
(913) 764-4333
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6865
KS
Other
Enumeration date
04/10/2012
Last updated
11/30/2016
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