# DR. TINA M. OLSSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1053351791
- **Gender:** F
- **Credential:** D.M.D., M.S.D

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | DE00011163 | WA | — |
| 1223E0200X | Endodontics | DEN00011163 | WA | Yes |

## Other

- **Enumeration date:** 06/08/2006
- **Last updated:** 06/12/2019
