CLYDE BROOK OLSON

ROY, UT
NPI1033258272
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: UT  133716)
Enumeration Date2007-02-05
Last Update Date2007-07-08
Business Address
-- CLYDE BROOK OLSON DDS
4902 S 1900 W
ROY, UT 84067-2993
Phone number: 801-776-1240
Mailing Address
-- CLYDE BROOK OLSON DDS
4902 S 1900 W
ROY, UT 84067-2993
Phone number: 801-776-1240
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