Individual
STEVEN OLLASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
7127 PROSPECT PL NE, ALBUQUERQUE, NM 87110-4313
(505) 881-4365
Mailing address
7127 PROSPECT PL NE, ALBUQUERQUE, NM 87110-4313
(505) 881-4365
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD3966
NM
Other
Enumeration date
01/03/2014
Last updated
01/03/2014
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