Clyde Brook Olson, DDS

NPI #1033258272 in Roy, Utah

Provider Information

NPI Number: 1033258272
Entity Type: Individual
Name: Clyde Brook Olson, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Feb 5, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 4902 S 1900 W
City: Roy
State: Utah
ZIP Code: 84067-2993
Phone: (801) 776-1240

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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