Organization
EVAN G OLSON DDS LLC
Active
Other names
Coppertop Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVAN OLSON DDS (OWNER)
(541) 923-5927
Entity
Organization
Contact information
Practice address
3818 SW 21ST PL, SUITE 202, REDMOND, OR 97756-6801
(541) 923-5927
Mailing address
3818 SW 21ST PL, SUITE 202, REDMOND, OR 97756-6801
(541) 923-5927
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9473
OR
Other
Enumeration date
12/21/2014
Last updated
12/21/2014
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