Olson Dental LLC

NPI #1790014777 in Prior Lake, Minnesota

Provider Information

NPI Number: 1790014777
Entity Type: Organization
Organization Name: Olson Dental LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 21, 2009
Last Updated: Dec 21, 2009

Practice Location

Address: 15870 FRANKLIN TRL SE
Address 2: SUITE 200
City: Prior Lake
State: Minnesota
ZIP Code: 55372-2092
Phone: (952) 447-4463

Authorized Official

Name: DR. CHAD OLSON
Title: DDS
Phone: (952) 447-4463

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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