St. Paul Oral Surgery, P.a.
NPI #1548218910 in South St Paul, Minnesota
Provider Information
- NPI Number
- 1548218910
- Entity Type
- Organization
- Organization Name
- St. Paul Oral Surgery, P.a.
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- May 5, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 710 19TH AVE N
- Address 2
- SUITE 300
- City
- South St Paul
- State
- Minnesota
- ZIP Code
- 55075-1359
- Phone
- (651) 451-1873
Authorized Official
- Name
- DR. DALE VICTOR OLSON, D.D.S.
- Title
- PRESIDENT
- Phone
- (651) 451-1873
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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