# ST. PAUL ORAL SURGERY, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548218910
- **Authorized official:** DR. DALE VICTOR OLSON D.D.S. (PRESIDENT)
- **Authorized official phone:** (651) 451-1873

## Contact information

- **Practice address:** 710 19TH AVE N, SUITE 300, SOUTH ST PAUL, MN 55075-1359
- **Practice address phone:** (651) 451-1873
- **Practice address fax:** (651) 451-8010
- **Mailing address:** 710 19TH AVE N, SUITE 300, SOUTH ST PAUL, MN 55075-1359
- **Mailing address phone:** (651) 451-1873
- **Mailing address fax:** (651) 451-8010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 7933 | MN | Yes |

## Other

- **Enumeration date:** 05/05/2006
- **Last updated:** 08/22/2020