Dr. Gary Andrew Olen
Pediatric Dentist
773 Broadway
El Cajon
, California 92021-4631
Dr. Gary Andrew Olen
Pediatric Dentist
773 Broadway
El Cajon
, California 92021-4631
(619) 440-5915
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Dr. Gary Andrew Olen
- 773 Broadway
- El Cajon, CA
- Zip : 92021-4631
- Phone : (619) 440-5915
Second Address
- Dr. Gary Andrew Olen
- 773 Broadway
- El Cajon, CA
- Zip : 92021-4631
- Phone : (619) 440-5915
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | 24491 | CA |
National Provider Identifier
| NPI | 1043303993 |
|---|---|
| Provider Name | Dr. Gary Andrew Olen |
| First Address | El Cajon, CA 92021-4631 |
| Second Address | El Cajon, CA 92021-4631 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/10/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.