Organization
BETHANY J. OLSON DDS, LLC
Active
Other names
Nye Avenue Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BETHANY J OLSON DDS (DENTIST/OWNDER)
(402) 721-2252
Entity
Organization
Contact information
Practice address
2220 N NYE AVE, FREMONT, NE 68025-2543
(402) 721-2252
(402) 721-4826
Mailing address
2220 N NYE AVE, FREMONT, NE 68025-2543
(402) 721-2252
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025535600
—
NE
Enumeration date
06/18/2019
Last updated
06/18/2019
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