Organization
OLSON FAMILY DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL IVAN OLSON DDS (OWNER/DENTIST)
(303) 886-2969
Entity
Organization
Contact information
Practice address
11550 SHERIDAN BLVD STE 101, WESTMINSTER, CO 80020-3312
(720) 464-3901
Mailing address
12601 JULIAN ST, BROOMFIELD, CO 80020-5841
(303) 886-2969
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/29/2020
Last updated
07/29/2020
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