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Organization
OLSON DENTAL CORPORATION
Active
Organization
OLSON DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH M OLSON DMD (DENTIST)
(702) 533-5775
Entity
Organization
Contact information
Practice address
7677 CENTER AVE STE 305, HUNTINGTON BEACH, CA 92647-9119
(714) 847-8501
(714) 908-7715
Mailing address
14 RUE DU PARC, FOOTHILL RANCH, CA 92610-3424
(702) 533-5775
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
63843
CALIFORNIA DENTAL LICENSE
CA
Enumeration date
09/27/2021
Last updated
03/07/2023
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