NPI | 1194106823 |
---|---|
Doing Business As | LARSON AND OLSEN DENTAL PA |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER LEE OLSEN Dentist 507-235-5985 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MN 9502) |
Enumeration Date | 2015-06-18 |
Last Update Date | 2018-07-27 |