Individual
DR. RANDALL J. OLSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
511 W WATER ST, SUITE C, DECORAH, IA 52101-1776
(563) 382-4302
Mailing address
511 W WATER ST, SUITE C, DECORAH, IA 52101-1776
(563) 382-4302
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7652
IA
Other
Enumeration date
10/14/2005
Last updated
07/08/2007
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