Individual
DR. MICHAEL JOHN OLMSTEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
INDIAN HILLS COMMUNITY COLLEGE, 525 GRANDVIEW AVE., OTTUMWA, IA 52501-0000
(641) 683-5111
Mailing address
1752 MAHARISHI CENTER AVE, BUILDING C UNIT 3, FAIRFIELD, IA 52556
(808) 639-9422
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
FAC-40186
IA
1223G0001X
General Practice Dentistry
FAC-40186
IA
Other
Enumeration date
04/30/2021
Last updated
04/30/2021
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