Individual
DR. WAYNE D OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1008 COUNTRY CLUB RD, ST CHARLES, MO 63303
(636) 946-9949
(636) 946-3915
Mailing address
1008 COUNTRY CLUB RD, ST CHARLES, MO 63301
(636) 723-2085
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11387
IL
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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