Individual
JASMINE OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8105 166TH AVE NE STE 103, REDMOND, WA 98052-3999
(425) 300-9056
Mailing address
8105 166TH AVE NE STE 103, REDMOND, WA 98052-3999
(425) 300-9056
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DE60575271
WA
125Q00000X
Oral Medicine Dentistry
Primary
DE60575271
WA
Other
Enumeration date
07/07/2015
Last updated
06/03/2024
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