MR. Clinton Jerrod Olson, L.D.

NPI #1538625561 in Clarkston, Washington

Provider Information

NPI Number
1538625561
Entity Type
Individual
Name
MR. Clinton Jerrod Olson, L.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Denturist
Credential
L.D.
Enumeration Date
Feb 14, 2019
Last Updated
Feb 14, 2019

Practice Location

Address
1346 12TH ST
ZIP Code
99403
Phone
(509) 758-7805

Specialties & Taxonomy Codes

Specialty
Denturist

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