Organization
OLSON FAMILY DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID CLARENCE OLSON DDS (OWNER-DENTIST)
(701) 852-4933
Entity
Organization
Contact information
Practice address
3725 CROSSING STREET SW, SUITE B, MINOT, ND 58701
(701) 852-4933
Mailing address
3725 CROSSING STREET SW, SUITE B, MINOT, ND 58701
(701) 852-4933
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1613
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40712
—
ND
Enumeration date
06/17/2014
Last updated
09/18/2018
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