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
- City
- Clarkston
- State
- Washington
- ZIP Code
- 99403
- Phone
- (509) 758-7805
Specialties & Taxonomy Codes
| Specialty |
|---|
| Denturist |
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Organizations
| Provider Name | |
|---|---|
| Clarkston Denturist Clinic | |
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