Individual
DR. ROBERT WAYNE OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
34 BRUYER WAY, KALISPELL, MT 59901-6305
(503) 884-7906
Mailing address
94012 RANGE ROAD 215, LETHBRIDGE COUNTY, ALBERTA T1J 5-R4
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
23787
MT
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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