Individual
KATIE OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8600 NICOLLET AVE S, BLOOMINGTON, MN 55420
(952) 541-2888
Mailing address
8600 NICOLLET AVE S, BLOOMINGTON, MN 55420-2824
(952) 541-2888
Taxonomy
Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
Primary
DT65
MN
Other
Enumeration date
12/06/2016
Last updated
04/03/2019
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