| Brent Olson, DDS, PLLC | |
|
730 E Madison Ave Mankato MN 56001-6100 | |
| (507) 625-7550 | |
| (507) 388-3353 |
| Full Name | Brent Olson, DDS, PLLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 730 E Madison Ave, Mankato, Minnesota |
| Authorized Official Name and Position | Brent Willard Olson (DR.) |
| Authorized Official Contact | 5076257550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brent Olson, DDS, PLLC 730 E Madison Ave Mankato MN 56001-6100 Ph: (507) 625-7550 | Brent Olson, DDS, PLLC 730 E Madison Ave Mankato MN 56001-6100 Ph: (507) 625-7550 |
| NPI Number | 1215184346 |
|---|---|
| Provider Enumeration Date | 08/20/2008 |
| Last Update Date | 08/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215184346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D12094 (Minnesota) | Primary |
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