Olson Dental Llc | |
15870 Franklin Trl Se Suite 200 Prior Lake MN 55372-2092 | |
(952) 447-4463 | |
Not Available |
Full Name | Olson Dental Llc |
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Speciality | Dentist - General Practice |
Location | 15870 Franklin Trl Se, Prior Lake, Minnesota |
Authorized Official Name and Position | Chad Olson (DDS) |
Authorized Official Contact | 9524474463 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Olson Dental Llc 15870 Franklin Trl Se Suite 200 Prior Lake MN 55372-2092 Ph: (952) 447-4463 | Olson Dental Llc 15870 Franklin Trl Se Suite 200 Prior Lake MN 55372-2092 Ph: (952) 447-4463 |
NPI Number | 1790014777 |
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Provider Enumeration Date | 12/21/2009 |
Last Update Date | 12/21/2009 |
Identifier | Type | State | Issuer |
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1790014777 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 11141 (Minnesota) | Primary |
Prior Lake Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14120 Commerce Ave, Suite #300, Prior Lake, MN 55372 Phone: 952-447-1080 Fax: 952-447-0376 | |
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Dr. Howard E. Olson Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15870 Franklin Trl Se, Prior Lake, MN 55372 Phone: 952-447-4463 | |
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