Individual
DR. JEFFREY CHARLES OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
161 WAILEA IKE DR, STE B104, WAILEA, HI 96753
(808) 875-8555
Mailing address
161 WAILEA IKE DR, STE B104, WAILEA, HI 96753
(808) 875-8555
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2487
HI
Other
Enumeration date
04/22/2013
Last updated
04/22/2013
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