Organization
FAMILY DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY G OLSON DDS (DOCTOR)
(605) 342-2445
Entity
Organization
Contact information
Practice address
1301 W OMAHA ST, STUITE 228, RAPID CITY, SD 57701-2447
(605) 342-2445
(605) 342-8073
Mailing address
1301 W OMAHA ST, STUITE 228, RAPID CITY, SD 57701-2447
(605) 342-2445
(605) 342-8073
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
M705
SD
Other
Enumeration date
02/01/2007
Last updated
06/10/2013
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