Individual
MS. DEBRA OLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAP
Contact information
Practice address
644 ARDEN AVE, GLENDALE, CA 91202-2857
(818) 314-0101
(818) 338-9218
Mailing address
644 ARDEN AVE, GLENDALE, CA 91202-2857
(818) 314-0101
(818) 338-9218
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
187
CA
Other
Enumeration date
06/06/2007
Last updated
07/07/2012
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