DR. Wesley A Olsen JR., DMD

NPI #1639288673 in State College, Pennsylvania

Provider Information

NPI Number: 1639288673
Entity Type: Individual
Name: DR. Wesley A Olsen JR., DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Periodontics
Credential: DMD
Enumeration Date: Aug 30, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 205 EAST BEAVER AVE
City: State College
State: Pennsylvania
ZIP Code: 16801
Phone: (814) 861-1500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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