Individual
DR. MARTIN H OLESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
210 S THIRD AVE, CLEAR LAKE, SD 57226-0559
(605) 874-2230
(605) 874-2675
Mailing address
210 S THIRD AVE, PO BOX 559, CLEAR LAKE, SD 57226-0559
(605) 874-2230
(605) 874-2675
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
M-517
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7802770
—
SD
Enumeration date
05/09/2007
Last updated
07/08/2007
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