| NPI | 1114050432 |
|---|---|
| Other Name | OLSON DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | MITCHELL BRENTON OLSON Dentist 952-884-1308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |