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Organization

TOMHAVE OLSON DENTAL ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES TOMHAVE DDS (PRESIDENT)
(218) 879-4541
Entity
Organization

Contact information

Practice address
510 CUMBERLAND ST., EXECUTIVE PLAZA, 4TH FLOOR, BRISTOL, VA 24201
(218) 879-4541
Mailing address
1211 STANLEY AVENUE, CLOQUET, MN 55720
(218) 879-4541
(218) 879-4542

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D10799
MN
122300000X
Dentist
D9213
MN
122300000X
Dentist
D9802
MN

Other

Enumeration date
09/12/2006
Last updated
09/11/2025
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