Individual
EVAN G OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
101 WESTVIEW PARK PL, KALISPELL, MT 59901-1401
(406) 393-8877
(406) 752-1124
Mailing address
101 WESTVIEW PARK PL, KALISPELL, MT 59901-1401
(406) 393-8877
(406) 752-1124
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D9473
OR
1223G0001X
General Practice Dentistry
Primary
D-6037
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500625075
—
OR
Enumeration date
08/04/2010
Last updated
02/15/2024
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