DR. Richard Stanley Olesen, DDS

NPI #1639360555 in Berkeley, California

Provider Information

NPI Number: 1639360555
Entity Type: Individual
Name: DR. Richard Stanley Olesen, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 6, 2007
Last Updated: Aug 6, 2007

Practice Location

Address: 2430 WEBSTER STREET
City: Berkeley
State: California
ZIP Code: 94705
Phone: (510) 843-4550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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