Individual
DR. BRENEN OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
304 N CHELAN AVE, WENATCHEE, WA 98801-2107
(509) 663-0068
Mailing address
304 N CHELAN AVE, WENATCHEE, WA 98801-2107
(509) 663-0068
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
D5245
ID
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DE61136165
WA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DL13313
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2017
Last updated
05/16/2024
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