Tomhave Olson Dental Associates

NPI 1083718605 - Dentist - 122300000X

NPI Details
NPI 1083718605
Enumeration Date 09/12/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JAMES JAMES
Position PRESIDENT
Phone (218) 879-4541
Fax
Practice Location
510 CUMBERLAND ST.
EXECUTIVE PLAZA, 4TH FLOOR
BRISTOL VA, 24201, US
Phone (218) 879-4541
Fax
Business Location
1211 STANLEY AVENUE
CLOQUET MN, 55720, US
Phone (218) 879-4541
Fax (218) 879-4542
Toxanomy
Taxonomy Code 122300000X
License State Minnesota
License Number D9802
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According to our database, Tomhave Olson Dental Associates NPI is 1083718605, taxonomy code is 122300000X and license number is D9802, license state is located at Minnesota. Tomhave Olson Dental Associates physically located at 510 Cumberland St., Bristol VA, 24201. NPI Number 1033115704 has the healthcare provider type.

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1083718605 NPI number is provided on an as is basis without warranty of any kind. 1083718605 is maintained by the National Plan & Provider Enumeration System. The contents of Tomhave Olson Dental Associates are for informational purposes only.