Individual
GARY OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
419 N YELM ST, KENNEWICK, WA 99336-3001
(509) 783-9895
(509) 783-0806
Mailing address
419 N YELM ST, KENNEWICK, WA 99336-3001
(509) 783-9895
(509) 783-0806
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4961
WA
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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