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Organization
DAVID L. OLSON, DMD, PA
Active
Organization
DAVID L. OLSON, DMD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID LEE OLSON DMD (DENTIST)
(843) 553-5231
Entity
Organization
Contact information
Practice address
100 BERKELEY SQUARE LN, POB 1460, GOOSE CREEK, SC 29445-2958
(843) 553-5231
(843) 797-7547
Mailing address
PO BOX 1460, 100 BERKELEY SQUARE LANE, GOOSE CREEK, SC 29445-1460
(843) 553-5231
(843) 797-7547
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1763
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
454338
UNITED CONCORDIA INSURANC
SC
Enumeration date
05/09/2006
Last updated
08/22/2020
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