Dr. Edward Lawrence Olson, DDS
Dentist, Prosthodontics in St Cloud, MN. Individual provider (NPI-1).
NPI number1417092016
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1417092016
- Entity type
- Individual (NPI-1)
- Name
- Dr. Edward Lawrence Olson
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 21, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0700X | Dentist, Prosthodontics | MN7908 | MN | Yes |
Practice location
816 W St Germain StSuite 502
St Cloud, MN 56301
Phone 320-253-9868 · Fax 320-255-0033
Mailing address
816 W St Germain StSuite 502
St Cloud, MN 56301
Phone 320-253-9868 · Fax 320-255-0033
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