Olson Dental Associates | |
393 Dunlap St N Suite 308 Saint Paul MN 55104-4200 | |
(651) 788-7045 | |
Not Available |
Full Name | Olson Dental Associates |
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Speciality | Dentist - General Practice |
Location | 393 Dunlap St N, Saint Paul, Minnesota |
Authorized Official Name and Position | Kenneth Michael Olson (OWNER) |
Authorized Official Contact | 6517887045 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Olson Dental Associates 393 Dunlap St N Suite 308 Saint Paul MN 55104-4200 Ph: (651) 788-7045 | Olson Dental Associates 393 Dunlap St N Suite 308 Saint Paul MN 55104-4200 Ph: (651) 788-7045 |
NPI Number | 1235322504 |
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Provider Enumeration Date | 08/21/2007 |
Last Update Date | 08/21/2007 |
Identifier | Type | State | Issuer |
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1235322504 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 8085 (Minnesota) | Primary |
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