Individual
DR. MICHELLE LEA OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4939 COURTHOUSE ST, WILLIAMSBURG, VA 23188-2687
(757) 259-0741
(757) 259-0718
Mailing address
924 SOUTHMOOR DR UNIT 305, VIRGINIA BEACH, VA 23455-3771
(757) 355-4948
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401412983
VA
1223G0001X
General Practice Dentistry
D12256
MN
Other
Enumeration date
08/30/2006
Last updated
10/05/2010
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