Individual
DR. KENNETH MICHAEL OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
393 DUNLAP ST N STE 310, SAINT PAUL, MN 55104-4207
(651) 647-9697
(651) 203-0298
Mailing address
393 DUNLAP ST N STE 310, SAINT PAUL, MN 55104-4207
(651) 647-9697
(651) 203-0298
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8085
MN
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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