Individual
DR. CANDLAND LEE OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
460 S 400 E, BOUNTIFUL, UT 84010
(801) 295-4711
(801) 295-4714
Mailing address
460 S 400 E, BOUNTIFUL, UT 84010
(801) 295-4711
(801) 295-4714
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
221303549921
UT
Other
Enumeration date
06/28/2007
Last updated
07/08/2007
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