| Olson Dental Associates P.s.c. | |
|
393 Dunlap St N Suite 308 Saint Paul MN 55104-4200 | |
| (651) 788-7045 | |
| Not Available |
| Full Name | Olson Dental Associates P.s.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 393 Dunlap St N, Saint Paul, Minnesota |
| Authorized Official Name and Position | Kenneth M Olson (OWNER) |
| Authorized Official Contact | 6517887045 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Olson Dental Associates P.s.c. 393 Dunlap St N Suite 308 Saint Paul MN 55104-4200 Ph: (651) 788-7045 | Olson Dental Associates P.s.c. 393 Dunlap St N Suite 308 Saint Paul MN 55104-4200 Ph: (651) 788-7045 |
| NPI Number | 1518298660 |
|---|---|
| Provider Enumeration Date | 01/28/2010 |
| Last Update Date | 01/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518298660 | NPI | - | NPPES |
| 1235322504 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 8085 (Minnesota) | Primary |
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