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1225570013
OLSON DENTAL GROUP, PLLC
BETHANY, OK
NPI
1225570013
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Entity Type
Organization
Authorized Contact
MATTHEW HALE
Authorized Representative
214-702-0721
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2016-11-09
Last Update Date
2016-11-09
Business Address
OLSON DENTAL GROUP, PLLC
6801 NW 39TH EXPY SUITE A
BETHANY, OK 73008-2501
Phone number: 405-787-1946
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Mailing Address
OLSON DENTAL GROUP, PLLC
2711 LBJ FWY SUITE 122
DALLAS, TX 75234-7315
Phone number:
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