Individual
DR. RICHARD ALLEN OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
367 WILLIAMSON RD, SUITE 103, MOORESVILLE, NC 28117-5944
(704) 662-9111
(704) 662-9112
Mailing address
367 WILLIAMSON RD, SUITE 103, MOORESVILLE, NC 28117-5944
(704) 662-9111
(704) 662-9112
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5941
NC
Other
Enumeration date
03/18/2007
Last updated
07/08/2007
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