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Individual

DR. TAYLOR M OLSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, MSD

Contact information

Practice address
31920 DEL OBISPO ST STE 265, SAN JUAN CAPISTRANO, CA 92675-3191
(949) 542-7799
(949) 542-7798
Mailing address
31920 DEL OBISPO ST STE 265, SAN JUAN CAPISTRANO, CA 92675-3191
(949) 542-7799
(949) 542-7798

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
57300
CA

Other

Enumeration date
10/30/2008
Last updated
06/01/2009
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