Organization
NILS W OLSON DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY E RICE (OFFICE ADMINSTRATOR)
(301) 695-5454
Entity
Organization
Contact information
Practice address
150 BAUGHMANS LN, FREDERICK, MD 21702-4004
(301) 695-5454
(301) 695-3415
Mailing address
150 BAUGHMANS LN, FREDERICK, MD 21702-4004
(301) 695-5454
(301) 695-3415
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6439
MD
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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