| NPI | 1346351889 |
|---|---|
| Former Name | HEATHER D OLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA DE00010632) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WA DE00010632) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-03-27 |