Organization
CHRISTOPHER L. OLSEN, DDS PLLC
Active
Other names
Larson and Olsen Dental PA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER LEE OLSEN DDS (DENTIST)
(507) 235-5985
Entity
Organization
Contact information
Practice address
717 S STATE ST, SUITE #2, FAIRMONT, MN 56031-4469
(507) 235-5985
Mailing address
717 S STATE ST. STE #2, FAIRMONT, MN 56031
(507) 235-5985
(507) 235-5125
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
9502
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
414720100
—
MN
Enumeration date
06/18/2015
Last updated
07/27/2018
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