Individual
JAMES RANDALL OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
986 S MAIN ST, SNOWFLAKE, AZ 85937-5500
(928) 536-5353
(928) 536-5353
Mailing address
986 S MAIN, SNOWFLAKE, AZ 85937
(928) 536-7741
(928) 536-7741
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D6981
AZ
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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