A Olson DDS Pllc

NPI #1548553241 in Logan, Utah

Provider Information

NPI Number: 1548553241
Entity Type: Organization
Organization Name: A Olson DDS Pllc
Primary Specialty: Dentist
Enumeration Date: May 27, 2011
Last Updated: May 27, 2011

Practice Location

Address: 167 E 200 N STE 6
City: Logan
State: Utah
ZIP Code: 84321-4049
Phone: (435) 752-2704

Authorized Official

Name: ANDREW OLSON
Title: MEMBER
Phone: (435) 752-2704

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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