DR. Blake Jerome Olson, D.D.S.
NPI #1023290301 in Redway, California
Provider Information
- NPI Number
- 1023290301
- Entity Type
- Individual
- Name
- DR. Blake Jerome Olson, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Nov 29, 2007
- Last Updated
- Nov 29, 2007
Practice Location
- Address
- 101 WESTCOAST RD.
- City
- Redway
- State
- California
- ZIP Code
- 95560
- Phone
- (707) 923-4313
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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