Katie Olson
Dental Therapist in Bloomington, MN. Individual provider (NPI-1).
NPI number1982148227
StatusActive
Last updated in NPPESApr 3, 2019
Details
- NPI
- 1982148227
- Entity type
- Individual (NPI-1)
- Name
- Katie Olson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 6, 2016
- Last updated
- Apr 3, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 125J00000X | Dental Therapist | DT65 | MN | Yes |
Practice location
8600 Nicollet Ave SBloomington, MN 55420
Phone 952-541-2888
Mailing address
8600 Nicollet Ave SBloomington, MN 55420-2824
Phone 952-541-2888
Other practice locations
1016 1st St S
Willmar, MN 56201-3510
Willmar, MN 56201-3510
Phone 320-235-2010
1016 1st St S
Willmar, MN 56201-3510
Willmar, MN 56201-3510
Phone 320-235-2010
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