Individual
DR. TRAVIS LEE OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1205 16TH AVE S, FARGO, ND 58103-4162
(701) 293-6999
Mailing address
1205 16TH AVE S, FARGO, ND 58103-4162
(701) 293-6999
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2032
ND
Other
Enumeration date
03/18/2008
Last updated
07/14/2010
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