Organization
BRENT OLSON, DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT WILLARD OLSON M.D. (DR.)
(507) 625-7550
Entity
Organization
Contact information
Practice address
730 E MADISON AVE, MANKATO, MN 56001-6100
(507) 625-7550
(507) 388-3353
Mailing address
730 E MADISON AVE, MANKATO, MN 56001-6100
(507) 625-7550
(507) 388-3353
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12094
MN
Other
Enumeration date
08/20/2008
Last updated
08/20/2008
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