Organization
CLINT OLSON, LLC
Active
Other names
Clarkston Denturist Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CLINTON JERROD OLSON L.D. (DENTURIST/OWNER)
(509) 758-7805
Entity
Organization
Contact information
Practice address
1346 12TH ST, CLARKSTON, WA 99403-2821
(509) 758-7805
Mailing address
1346 12TH ST, CLARKSTON, WA 99403-2821
(509) 758-7805
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN00000046
CREDENTIAL NUMBER-DENTURIST LICENSE
WA
Enumeration date
08/13/2026
Last updated
08/16/2026
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