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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