Individual
MR. JASON OLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(919) 966-2792
Mailing address
208B CEDAR TERRACE RD, CHAPEL HILL, NC 27516-8942
(919) 923-5507
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8177
NC
Other
Enumeration date
06/08/2007
Last updated
07/08/2007
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