Individual
MITCHELL B OLSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS PA
Contact information
Practice address
8400 LYNDALE AVE S, STE E, BLOOMINGTON, MN 55420
(952) 884-1308
(952) 884-3445
Mailing address
8400 LYNDALE AVE S, STE E, BLOOMINGTON, MN 55420
(952) 884-1308
(952) 884-3445
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10503
MN
Other
Enumeration date
06/13/2006
Last updated
07/08/2007
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