Olson Dental Associates

NPI 1235322504 - Dentist - 1223G0001X

NPI Details
NPI 1235322504
Enumeration Date 08/21/2007
Last Updated 08/21/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KENNETH MICHAEL KENNETH
Position OWNER
Phone (651) 788-7045
Fax
Practice Location
393 DUNLAP ST N
SUITE 308
SAINT PAUL MN, 55104-4200, US
Phone (651) 788-7045
Fax
Business Location
393 DUNLAP ST N
SUITE 308
SAINT PAUL MN, 55104-4200, US
Phone (651) 788-7045
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Minnesota
License Number 8085
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According to our database, Olson Dental Associates NPI is 1235322504, taxonomy code is 1223G0001X and license number is 8085, license state is located at Minnesota. Olson Dental Associates physically located at 393 Dunlap St N, Saint Paul MN, 55104-4200. NPI Number 1033115704 has the healthcare provider type.

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1235322504 NPI number is provided on an as is basis without warranty of any kind. 1235322504 is maintained by the National Plan & Provider Enumeration System. The contents of Olson Dental Associates are for informational purposes only.