Individual
ANDREW C OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
167 E 200 N STE 6, LOGAN, UT 84321-4049
(435) 752-2704
Mailing address
167 E 200 N STE 6, LOGAN, UT 84321-4049
(435) 752-2704
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019027643
IL
122300000X
Dentist
Primary
7257918
UT
Other
Enumeration date
06/02/2008
Last updated
11/10/2010
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