Gary R. Olson, DDS

NPI #1053300392 in Chicago, Illinois

Provider Information

NPI Number: 1053300392
Entity Type: Individual
Name: Gary R. Olson, DDS
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Oct 19, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 6907 S WENTWORTH AVE
City: Chicago
State: Illinois
ZIP Code: 60621-3734
Phone: (773) 488-5300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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