Michael R Olson D.D.S

NPI 1417177056 - Dentist - 1223G0001X

NPI Details
NPI 1417177056
Gender Male
Enumeration Date 04/26/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
725 W ROUND BUNCH RD
BRIDGE CITY TX, 77611-2435, US
Phone (409) 735-4902
Fax (409) 735-7595
Business Location
755 W ROUND BUNCH RD
BRIDGE CITY TX, 77611-2435, US
Phone (409) 735-4902
Fax (409) 735-7595
Toxanomy
Taxonomy Code 1223G0001X
License State Texas
License Number 21519
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According to our database, Dr. Michael R Olson D.D.S NPI is 1417177056, taxonomy code is 1223G0001X and license number is 21519, license state is located at Texas. Michael R Olson D.D.S physically located at 725 W Round Bunch Rd, Bridge City TX, 77611-2435. NPI Number Michael R Olson D.D.S has the Individual type.

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1417177056 NPI number is provided on an as is basis without warranty of any kind. 1417177056 is maintained by the National Plan & Provider Enumeration System. The contents of Michael R Olson D.D.S are for informational purposes only.