BRANT N OLSON

IDAHO FALLS, ID
NPI1285653071
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  D3386)
Enumeration Date2006-07-19
Last Update Date2007-07-08
Business Address
-- BRANT N OLSON D.D.S.,P.A.
250 S SKYLINE DR SUITE 5
IDAHO FALLS, ID 83402-3292
Phone number: 208-522-9101
Mailing Address
-- BRANT N OLSON D.D.S.,P.A.
250 S SKYLINE DR SUITE 5
IDAHO FALLS, ID 83402-3292
Phone number: 208-522-9101
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