Individual
JEFFREY G OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1301 W OMAHA ST, STE 228, RAPID CITY, SD 57701-2447
(605) 342-2445
Mailing address
1301 W OMAHA ST, STE 228, RAPID CITY, SD 57701-2447
(605) 342-2445
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
M705
SD
Other
Enumeration date
08/09/2007
Last updated
08/09/2007
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