Organization
OLSON DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD OLSON (DDS)
(952) 447-4463
Entity
Organization
Contact information
Practice address
15870 FRANKLIN TRL SE, SUITE 200, PRIOR LAKE, MN 55372-2092
(952) 447-4463
Mailing address
15870 FRANKLIN TRL SE, SUITE 200, PRIOR LAKE, MN 55372-2092
(952) 447-4463
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11141
MN
Other
Enumeration date
12/21/2009
Last updated
12/21/2009
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