DR. Charles Wold Olsen JR., D.M.D.

NPI #1043547045 in Park Ridge, New Jersey

Provider Information

NPI Number: 1043547045
Entity Type: Individual
Name: DR. Charles Wold Olsen JR., D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Nov 11, 2009
Last Updated: Nov 11, 2009

Practice Location

Address: 32 PASCACK RD
City: Park Ridge
State: New Jersey
ZIP Code: 07656-2024
Phone: (201) 476-1841

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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