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Individual

DR. JOHN W OLSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
UNIVERSITY OF LOUISVILLE SCHOOL OF DENTISTRY, 501 S. PRESTON ST., LOUISVILLE, KY 40292
(502) 852-5128
(502) 852-7163
Mailing address
UNIVERSITY OF LOUISVILLE SCHOOL OF DENTISTRY, 501 S. PRESTON ST., LOUISVILLE, KY 40292
(502) 852-5128
(502) 852-7163

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
4930
KY

Other

Enumeration date
10/05/2006
Last updated
07/08/2007
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