Individual
THOMAS WARD OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1912 MIDDLE RD, BETTENDORF, IA 52722-3206
(563) 355-5513
(563) 355-6024
Mailing address
1912 MIDDLE RD, BETTENDORF, IA 52722-3206
(563) 355-5513
(563) 355-6024
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
06884
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0207829
—
IA
01
—
20782
WELLMARK
IA
Enumeration date
04/03/2007
Last updated
07/09/2007
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