Chad Olson DDS

NPI 1871716688 - Dentist - 1223G0001X

NPI Details
NPI 1871716688
Gender Male
Enumeration Date 04/10/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
15870 FRANKLIN TRL SE STE 200
PRIOR LAKE MN, 55372-2021, US
Phone (952) 447-4463
Fax (952) 447-4453
Business Location
15870 FRANKLIN TRL SE STE 200
PRIOR LAKE MN, 55372-2021, US
Phone (952) 447-4463
Fax (952) 447-4453
Toxanomy
Taxonomy Code 1223G0001X
License State Minnesota
License Number D11141
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According to our database, Dr. Chad Olson DDS NPI is 1871716688, taxonomy code is 1223G0001X and license number is D11141, license state is located at Minnesota. Chad Olson DDS physically located at 15870 Franklin Trl Se Ste 200, Prior Lake MN, 55372-2021. NPI Number Chad Olson DDS has the Individual type.

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1871716688 NPI number is provided on an as is basis without warranty of any kind. 1871716688 is maintained by the National Plan & Provider Enumeration System. The contents of Chad Olson DDS are for informational purposes only.