Shannon R Olson, DDS

NPI #1548416365 in Nipomo, California

Provider Information

NPI Number: 1548416365
Entity Type: Individual
Name: Shannon R Olson, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 12, 2008
Last Updated: Mar 9, 2012

Practice Location

Address: 150 TEJAS PL
City: Nipomo
State: California
ZIP Code: 93444-9123
Phone: (805) 929-3254

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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