Individual
DR. NILS OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
150 BAUGHMANS LN, FREDERICK, MD 21702-4004
(301) 695-5454
(301) 695-3415
Mailing address
150 BAUGHMANS LN, FREDERICK, MD 21702-4004
(301) 695-5454
(301) 695-3415
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6439
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6439
DENTIST LICENSE NUMBER
MD
Enumeration date
03/15/2007
Last updated
07/08/2007
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