Individual
DR. BRETT R OLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
525 AIRPORT DR, ONEIDA, WI 54155-9035
(920) 869-2711
Mailing address
548 REDBIRD CIR, DE PERE, WI 54115-8785
(920) 964-0144
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4923-015
WI
Other
Enumeration date
10/12/2006
Last updated
10/09/2007
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