| NPI | 1275921561 |
|---|---|
| Doing Business As | MY DENTAL COMPANY |
| Entity Type | Organization |
| Authorized Contact | DWIGHT DOUG OLSON Dentist 719-527-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CO 8995) |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2023-04-17 |