Individual
MRS. JACQUELYN MARIE OLGEATY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
4881 SUGAR MAPLE DR, 88 MDG/SGDD, WRIGHT PATTERSON AFB, OH 45433-5546
(937) 257-9613
Mailing address
4881 SUGAR MAPLE DR BLDG 830, WRIGHT PATTERSON AFB, OH 45433-5529
(937) 257-9613
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
020006280
IL
Other
Enumeration date
10/13/2005
Last updated
11/30/2012
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