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Individual

DR. CODY GENE OLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1101 13TH ST. N, SUITE 1, NORTH PARK FAMILY DENTISTRY, HUMBOLDT, IA 50548
(515) 332-3230
(515) 332-3227
Mailing address
1101 13TH ST. N, SUITE 1, NORTH PARK FAMILY DENTISTRY, HUMBOLDT, IA 50548
(515) 332-3230
(515) 332-3227

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08742
IA

Other

Enumeration date
07/20/2010
Last updated
07/20/2010
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