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Organization

SCOTT M OLSON DMD PC

Active
Other names
Premier Dental
Organization subpart
No

Provider details

NPI number
Authorized official
SCOTT M OLSON DMD (PRESIDENT)
(417) 823-4900
Entity
Organization

Contact information

Practice address
1722 S GLENSTONE AVE, STE GG, SPRINGFIELD, MO 65804-1519
(417) 823-4900
(417) 823-8333
Mailing address
1722 S GLENSTONE AVE, STE GG, SPRINGFIELD, MO 65804-1519
(417) 823-4900
(417) 823-8333

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
12/27/2006
Last updated
08/21/2007
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