David K. Olsen, D.D.S. Valid NPI

Individual provider · General Practice Dentistry · Bruce, WI

NPI

1013085828

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

5001893-015 (WI)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-12-01

Last updated

2007-07-08