Individual
DR. DWIGHT DOUGLAS OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
6076 STETSON HILLS BLVD, COLORADO SPRINGS, CO 80923
(719) 637-2079
(719) 314-1304
Mailing address
6076 STETSON HILLS BLVD, COLORADO SPRINGS, CO 80923
(719) 637-2079
(719) 314-1304
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8995
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
86153889
—
CO
Enumeration date
08/08/2006
Last updated
07/08/2007
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