Organization
OAK RIDGE DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY J OLSON D.D.S. (CO-OWNER)
(952) 435-0355
Entity
Organization
Contact information
Practice address
625 E NICOLLET BLVD, SUITE 310, BURNSVILLE, MN 55337-6734
(952) 435-0355
(952) 435-0390
Mailing address
625 E NICOLLET BLVD, SUITE 310, BURNSVILLE, MN 55337-6734
(952) 435-0355
(952) 435-0390
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11326
MN
Other
Enumeration date
11/28/2006
Last updated
08/22/2020
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