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Organization

GREGORY W. OLSON, DDS PLLC

Active
Other names
Hartman & Olson Pediatric Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GREGORY W. OLSON DDS (OWNER)
(360) 675-7573
Entity
Organization

Contact information

Practice address
31775 STATE ROUTE 20 STE A1, OAK HARBOR, WA 98277-5104
(360) 675-7573
Mailing address
31775 STATE ROUTE 20 STE A1, OAK HARBOR, WA 98277-5104
(360) 675-7573

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
8135
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
469447
UNITED CONCORDIA ID#
WA
05
5036041
WA
Enumeration date
10/17/2006
Last updated
06/17/2008
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