Organization
GREGORY D OLSEN DDS MSD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY DAVID OLSEN DDS MSD (PRESIDENT)
(406) 542-7572
Entity
Organization
Contact information
Practice address
1221 S HIGGINS AVE, MISSOULA, MT 59801
(406) 542-7572
(406) 542-7713
Mailing address
1221 S HIGGINS AVE, MISSOULA, MT 59801
(406) 542-7572
(406) 542-7713
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2134
MT
Other
Enumeration date
12/12/2006
Last updated
08/22/2020
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