Individual
MRS. VANESSA KRISTINE STROM OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5135 SKYLINE RD S, SKYLINE DENTAL OFFICE, SALEM, OR 97306-9427
(612) 251-9958
Mailing address
8971 71ST ST NE, SPICER, MN 56288-8634
(612) 251-9958
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D8809
OR
Other
Enumeration date
09/12/2006
Last updated
07/08/2007
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