| Daniel J. Olson Dds Phd Pc | |
|
2510 Nw Medical Park Dr Roseburg OR 97470-5510 | |
| (541) 673-4152 | |
| (541) 673-4156 |
| Full Name | Daniel J. Olson Dds Phd Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2510 Nw Medical Park Dr, Roseburg, Oregon |
| Authorized Official Name and Position | Daniel J Olson (OWNER) |
| Authorized Official Contact | 5416734152 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel J. Olson Dds Phd Pc 2510 Nw Medical Park Dr Roseburg OR 97470-5510 Ph: (541) 673-4152 | Daniel J. Olson Dds Phd Pc 2510 Nw Medical Park Dr Roseburg OR 97470-5510 Ph: (541) 673-4152 |
| NPI Number | 1407014129 |
|---|---|
| Provider Enumeration Date | 05/29/2008 |
| Last Update Date | 05/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407014129 | NPI | - | NPPES |
| 133665 | Other | OR | MEDICARE GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 7394 (Oregon) | Primary |
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